LOFTUS FAMILY DENTAL - POST FALLS
NPI: 1912250366
· POST FALLS, ID 83854
· 1223G0001X
$377K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,294 |
$127K |
| 2019 |
6,186 |
$153K |
| 2020 |
3,751 |
$98K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
|
913 |
913 |
$90K |
| D1110 |
|
1,027 |
1,026 |
$79K |
| D2392 |
|
1,236 |
695 |
$66K |
| D1120 |
|
799 |
799 |
$55K |
| D2393 |
|
193 |
136 |
$25K |
| D7210 |
|
254 |
147 |
$24K |
| D0140 |
|
662 |
652 |
$15K |
| D2391 |
|
284 |
208 |
$9K |
| D0150 |
|
1,014 |
1,014 |
$7K |
| D1351 |
|
1,180 |
247 |
$3K |
| D0274 |
|
533 |
533 |
$2K |
| D0330 |
|
67 |
67 |
$945.66 |
| D0120 |
|
1,150 |
1,150 |
$922.22 |
| D7140 |
|
37 |
17 |
$481.87 |
| D2331 |
|
18 |
13 |
$262.17 |
| D9230 |
|
577 |
509 |
$209.03 |
| D1206 |
|
1,276 |
1,276 |
$123.89 |
| D1208 |
|
106 |
106 |
$54.20 |
| D0272 |
|
520 |
520 |
$15.87 |
| D0220 |
|
1,806 |
1,783 |
$9.22 |
| D0230 |
|
1,579 |
1,184 |
$-154.67 |