SUNNYVALE KIDS DDS PLLC
NPI: 1962170100
· SUNNYVALE, TX 75182
· 1223P0221X
$1.23M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
16,215 |
$475K |
| 2023 |
16,731 |
$448K |
| 2024 |
12,472 |
$309K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
4,859 |
4,762 |
$134K |
| D2392 |
|
1,345 |
834 |
$127K |
| D1351 |
|
4,685 |
1,147 |
$122K |
| D1110 |
|
2,119 |
2,090 |
$112K |
| D1120 |
|
3,209 |
3,143 |
$111K |
| D2391 |
|
1,346 |
869 |
$97K |
| D0145 |
|
696 |
683 |
$91K |
| D1208 |
|
5,425 |
5,316 |
$76K |
| D0210 |
|
917 |
903 |
$61K |
| D9230 |
|
2,082 |
1,900 |
$52K |
| D0274 |
|
1,540 |
1,520 |
$51K |
| D0272 |
|
2,157 |
2,113 |
$48K |
| D0220 |
|
3,947 |
3,848 |
$47K |
| D2930 |
|
325 |
179 |
$46K |
| D0230 |
|
3,674 |
3,473 |
$40K |
| D0150 |
|
412 |
395 |
$13K |
| D0330 |
|
72 |
71 |
$3K |
| D0140 |
|
64 |
63 |
$1K |
| D7140 |
|
20 |
13 |
$832.78 |
| D9986 |
|
61 |
59 |
$0.00 |
| D0603 |
|
3,943 |
3,873 |
$0.00 |
| D0602 |
|
1,985 |
1,944 |
$0.00 |
| D0601 |
|
535 |
526 |
$0.00 |