PLAYHOUSE DENTISTRY FOR KIDS
NPI: 1801274253
· MOUNTAIN HOME, ID 83647
· General Practice Dentistry
· NPI assigned 05/18/2015
$1.66M
Total Medicaid Paid
Provider Details
| Authorized Official | ELQUIST, RHONDA (OFFICE MANAGER) |
| NPI Enumeration Date | 05/18/2015 |
Related Entities
Other providers sharing the same authorized official: ELQUIST, RHONDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,992 |
$261K |
| 2019 |
15,714 |
$238K |
| 2020 |
10,975 |
$151K |
| 2021 |
13,882 |
$195K |
| 2022 |
16,413 |
$243K |
| 2023 |
19,027 |
$296K |
| 2024 |
16,269 |
$273K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
8,995 |
8,995 |
$631K |
| D1110 |
|
3,313 |
3,313 |
$349K |
| D2392 |
|
2,437 |
1,705 |
$212K |
| D2391 |
|
1,634 |
1,245 |
$106K |
| D0150 |
|
1,515 |
1,515 |
$103K |
| D0210 |
|
622 |
621 |
$94K |
| D0330 |
|
1,233 |
1,233 |
$58K |
| D0145 |
|
373 |
373 |
$26K |
| D1351 |
|
9,976 |
2,752 |
$16K |
| D9420 |
|
80 |
80 |
$15K |
| D2930 |
|
280 |
116 |
$13K |
| D0274 |
|
3,116 |
3,116 |
$10K |
| D0140 |
|
312 |
308 |
$9K |
| D1206 |
|
11,914 |
11,914 |
$5K |
| D1354 |
|
702 |
307 |
$3K |
| D2393 |
|
14 |
12 |
$2K |
| D9230 |
|
4,310 |
3,913 |
$2K |
| D0220 |
|
11,843 |
11,534 |
$1K |
| D0120 |
|
9,659 |
9,659 |
$1K |
| D7140 |
|
48 |
29 |
$875.03 |
| D7111 |
|
21 |
12 |
$692.36 |
| D0272 |
|
3,937 |
3,935 |
$177.38 |
| D1999 |
|
617 |
584 |
$0.00 |
| D0230 |
|
30,292 |
10,722 |
$0.00 |
| D3220 |
|
16 |
12 |
$0.00 |
| D1208 |
|
13 |
13 |
$0.00 |