SPROUT DENTISTRY FOR KIDS PLLC
NPI: 1821651894
· MCKINNEY, TX 75070
· 1223G0001X
$362K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
115 |
$755.36 |
| 2021 |
3,047 |
$46K |
| 2022 |
7,055 |
$126K |
| 2023 |
7,477 |
$122K |
| 2024 |
5,500 |
$67K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
1,821 |
1,796 |
$60K |
| D0145 |
|
404 |
397 |
$54K |
| D0350 |
|
3,601 |
3,563 |
$43K |
| D0230 |
|
3,752 |
1,801 |
$38K |
| D0120 |
|
1,413 |
1,391 |
$37K |
| D1351 |
|
1,007 |
182 |
$27K |
| D1206 |
|
1,952 |
1,928 |
$27K |
| D0220 |
|
2,087 |
2,028 |
$24K |
| D0272 |
|
638 |
628 |
$14K |
| D0150 |
|
408 |
403 |
$13K |
| D2392 |
|
115 |
38 |
$10K |
| D2930 |
|
50 |
13 |
$6K |
| D9230 |
|
192 |
175 |
$4K |
| D1330 |
|
2,184 |
2,171 |
$2K |
| D0330 |
|
14 |
14 |
$892.92 |
| D1110 |
|
16 |
16 |
$823.20 |
| D0140 |
|
40 |
40 |
$600.96 |
| D0274 |
|
12 |
12 |
$415.32 |
| D0603 |
|
3,488 |
3,431 |
$0.00 |