CHILDREN'S DENTAL OF SOUTHERN UTAH
NPI: 1891101572
· ST GEORGE, UT 84790
· 1223P0221X
$1.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
7,259 |
$235K |
| 2020 |
8,182 |
$286K |
| 2021 |
9,150 |
$347K |
| 2022 |
7,962 |
$298K |
| 2023 |
1,107 |
$32K |
| 2024 |
664 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
5,376 |
5,364 |
$798K |
| D1351 |
|
4,362 |
736 |
$117K |
| D9248 |
|
261 |
261 |
$96K |
| D2150 |
|
874 |
365 |
$48K |
| D0272 |
|
4,974 |
4,963 |
$38K |
| D0150 |
|
213 |
213 |
$32K |
| D1120 |
|
5,361 |
5,348 |
$27K |
| D2140 |
|
384 |
150 |
$22K |
| D0220 |
|
5,335 |
5,313 |
$11K |
| D1206 |
|
5,420 |
5,407 |
$8K |
| D2930 |
|
185 |
63 |
$8K |
| D7140 |
|
471 |
220 |
$8K |
| D0330 |
|
982 |
981 |
$2K |
| D2392 |
|
35 |
14 |
$2K |
| D2391 |
|
41 |
14 |
$1K |
| D1208 |
|
12 |
12 |
$0.00 |
| D3220 |
|
26 |
13 |
$0.00 |
| D0274 |
|
12 |
12 |
$0.00 |