MESQUITE TOOTH FAIRY PLLC
NPI: 1942076302
· MESQUITE, TX 75150
· 1223G0001X
$903K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
28,183 |
$903K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
3,116 |
1,320 |
$314K |
| D2391 |
|
1,536 |
874 |
$117K |
| D0150 |
|
2,162 |
2,132 |
$74K |
| D0230 |
|
6,129 |
2,539 |
$69K |
| D1120 |
|
1,573 |
1,556 |
$56K |
| D0274 |
|
1,561 |
1,537 |
$53K |
| D1110 |
|
981 |
968 |
$52K |
| D1351 |
|
2,000 |
707 |
$49K |
| D1208 |
|
2,583 |
2,550 |
$37K |
| D0220 |
|
2,579 |
2,545 |
$32K |
| D0145 |
|
134 |
130 |
$18K |
| D0120 |
|
385 |
383 |
$11K |
| D0272 |
|
460 |
454 |
$10K |
| D2330 |
|
111 |
57 |
$8K |
| D2930 |
|
20 |
13 |
$3K |
| D0603 |
|
2,853 |
2,807 |
$0.00 |