STATE AVENUE DENTAL LLC
NPI: 1881959278
· KANSAS CITY, KS 66112
· 122300000X
$1.88M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,541 |
$134K |
| 2019 |
9,654 |
$283K |
| 2020 |
8,074 |
$207K |
| 2021 |
8,361 |
$297K |
| 2022 |
10,439 |
$336K |
| 2023 |
10,975 |
$399K |
| 2024 |
6,898 |
$229K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
2,968 |
1,369 |
$325K |
| D1351 |
|
13,082 |
1,460 |
$323K |
| D1110 |
|
4,460 |
4,302 |
$179K |
| D0274 |
|
5,089 |
4,906 |
$142K |
| D2392 |
|
1,790 |
953 |
$132K |
| D0140 |
|
4,768 |
4,416 |
$132K |
| D0150 |
|
4,032 |
3,909 |
$115K |
| D0120 |
|
5,165 |
4,967 |
$106K |
| D2391 |
|
1,097 |
510 |
$77K |
| D0210 |
|
1,372 |
1,328 |
$73K |
| D0220 |
|
5,842 |
5,461 |
$68K |
| D1208 |
|
2,897 |
2,807 |
$50K |
| D1120 |
|
1,764 |
1,699 |
$47K |
| D2393 |
|
441 |
276 |
$36K |
| D0230 |
|
2,261 |
1,290 |
$22K |
| D7140 |
|
168 |
68 |
$13K |
| D2394 |
|
113 |
72 |
$11K |
| D0330 |
|
410 |
400 |
$10K |
| D2335 |
|
85 |
37 |
$9K |
| D1206 |
|
300 |
294 |
$5K |
| D0270 |
|
282 |
273 |
$4K |
| D0240 |
|
194 |
93 |
$3K |
| D1999 |
|
362 |
261 |
$10.00 |