WISE DENTISTRY FOR KIDS, PSC
NPI: 1790075166
· CAMPBELLSVILLE, KY 42718
· 1223P0221X
$635K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,400 |
$235K |
| 2019 |
10,429 |
$354K |
| 2020 |
1,259 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,584 |
3,440 |
$163K |
| D2392 |
|
1,434 |
773 |
$93K |
| D0150 |
|
3,426 |
3,299 |
$86K |
| D2930 |
|
711 |
227 |
$81K |
| D1208 |
|
3,986 |
3,828 |
$59K |
| D9230 |
|
1,228 |
1,150 |
$44K |
| D3220 |
|
431 |
146 |
$28K |
| D0272 |
|
1,546 |
1,474 |
$27K |
| D9420 |
|
224 |
215 |
$14K |
| D2391 |
|
180 |
105 |
$9K |
| D7140 |
|
189 |
91 |
$9K |
| D0120 |
|
316 |
308 |
$7K |
| D0330 |
|
175 |
168 |
$7K |
| D0220 |
|
310 |
295 |
$3K |
| D1351 |
|
123 |
38 |
$2K |
| D2393 |
|
15 |
12 |
$1K |
| D0274 |
|
44 |
42 |
$1K |
| D9986 |
|
1,154 |
976 |
$621.00 |
| D1110 |
|
12 |
12 |
$553.16 |