SUN VALLEY PEDIATRIC DENTISTRY, PLLC
NPI: 1881074318
· AVONDALE, AZ 85392
· 1223P0221X
$267K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
21,117 |
$137K |
| 2019 |
20,993 |
$110K |
| 2020 |
5,149 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
6,248 |
6,176 |
$55K |
| D1206 |
|
7,045 |
6,954 |
$31K |
| D0120 |
|
5,384 |
5,329 |
$29K |
| D2392 |
|
1,186 |
636 |
$27K |
| D0220 |
|
6,882 |
6,757 |
$18K |
| D0272 |
|
4,159 |
4,104 |
$18K |
| D0230 |
|
7,108 |
6,320 |
$15K |
| D1351 |
|
2,142 |
664 |
$14K |
| D0150 |
|
923 |
902 |
$11K |
| D0274 |
|
1,312 |
1,290 |
$8K |
| D7140 |
|
541 |
330 |
$7K |
| D1110 |
|
610 |
598 |
$7K |
| D0330 |
|
993 |
984 |
$6K |
| D9230 |
|
1,449 |
1,370 |
$6K |
| D2930 |
|
229 |
115 |
$5K |
| D2391 |
|
224 |
146 |
$4K |
| D0145 |
|
502 |
498 |
$4K |
| D9248 |
|
77 |
71 |
$1K |
| D0140 |
|
137 |
134 |
$876.36 |
| D3220 |
|
16 |
12 |
$284.60 |
| D0602 |
|
80 |
77 |
$0.00 |
| D0603 |
|
12 |
12 |
$0.00 |