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BOISE TOOTHTOWN DENTISTRY FOR KIDS PLLC
BOISE TOOTHTOWN DENTISTRY FOR KIDS PLLC
NPI: 1780037705
· BOISE, ID 83713
· 1223G0001X
$2.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12,546 |
$231K |
| 2019 |
15,902 |
$344K |
| 2020 |
13,295 |
$291K |
| 2021 |
15,844 |
$365K |
| 2022 |
15,066 |
$282K |
| 2023 |
16,417 |
$349K |
| 2024 |
14,738 |
$268K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
8,761 |
8,752 |
$559K |
| D1110 |
|
3,975 |
3,974 |
$417K |
| D2930 |
|
2,671 |
824 |
$277K |
| D7240 |
|
850 |
262 |
$164K |
| D2392 |
|
2,247 |
1,301 |
$160K |
| D0330 |
|
2,207 |
2,206 |
$157K |
| D0150 |
|
2,087 |
2,087 |
$123K |
| D0210 |
|
508 |
508 |
$97K |
| D2391 |
|
1,095 |
700 |
$43K |
| D7140 |
|
1,049 |
500 |
$32K |
| D9420 |
|
380 |
380 |
$25K |
| D0140 |
|
843 |
821 |
$24K |
| D9310 |
|
627 |
627 |
$20K |
| D0145 |
|
231 |
231 |
$16K |
| D1351 |
|
16,339 |
3,291 |
$9K |
| D0274 |
|
3,692 |
3,691 |
$4K |
| D0120 |
|
9,946 |
9,938 |
$2K |
| D1206 |
|
12,187 |
12,178 |
$1K |
| D1354 |
|
876 |
316 |
$799.00 |
| D9239 |
|
442 |
439 |
$683.49 |
| D9243 |
|
1,248 |
441 |
$421.06 |
| D0272 |
|
6,535 |
6,522 |
$266.66 |
| D0220 |
|
9,589 |
9,446 |
$183.45 |
| D3220 |
|
251 |
117 |
$135.93 |
| D1999 |
|
17 |
17 |
$0.00 |
| D0240 |
|
44 |
43 |
$0.00 |
| D9230 |
|
2,889 |
2,612 |
$-189.92 |
| D0230 |
|
12,222 |
8,544 |
$-1593.96 |