MESA KIDTASTIC DENTAL LLC
NPI: 1942841663
· MESA, AZ 85202
· 1223P0221X
$1.61M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14,956 |
$149K |
| 2021 |
27,817 |
$323K |
| 2022 |
25,229 |
$396K |
| 2023 |
26,277 |
$408K |
| 2024 |
24,282 |
$337K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
15,945 |
15,532 |
$279K |
| D2392 |
|
5,041 |
2,593 |
$190K |
| D0120 |
|
15,206 |
14,849 |
$176K |
| D1206 |
|
18,261 |
17,805 |
$159K |
| D2930 |
|
2,906 |
806 |
$148K |
| D2391 |
|
2,942 |
1,772 |
$88K |
| D0220 |
|
14,937 |
14,463 |
$87K |
| D0272 |
|
8,947 |
8,689 |
$82K |
| D0230 |
|
14,828 |
13,649 |
$74K |
| D7140 |
|
1,635 |
775 |
$54K |
| D1110 |
|
2,317 |
2,275 |
$48K |
| D0274 |
|
3,425 |
3,344 |
$45K |
| D0150 |
|
2,264 |
2,190 |
$44K |
| D0210 |
|
1,177 |
1,140 |
$32K |
| D9230 |
|
3,457 |
3,124 |
$32K |
| D1351 |
|
2,195 |
726 |
$24K |
| D0330 |
|
689 |
662 |
$14K |
| D0140 |
|
800 |
785 |
$12K |
| D9248 |
|
284 |
269 |
$9K |
| D0145 |
|
539 |
526 |
$7K |
| D2393 |
|
108 |
68 |
$5K |
| D3220 |
|
79 |
38 |
$3K |
| D0601 |
|
535 |
460 |
$0.00 |
| D0602 |
|
44 |
24 |
$0.00 |