KIDS TOOTH TEAM SOUTH AUSTIN PLLC
NPI: 1972171932
· AUSTIN, TX 78748
· 1223P0221X
$786K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,987 |
$82K |
| 2022 |
8,361 |
$204K |
| 2023 |
11,708 |
$293K |
| 2024 |
10,434 |
$208K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
1,378 |
1,357 |
$186K |
| D1351 |
|
3,683 |
675 |
$93K |
| D1120 |
|
2,726 |
2,643 |
$92K |
| D2930 |
|
651 |
223 |
$89K |
| D0230 |
|
7,682 |
2,658 |
$70K |
| D0120 |
|
2,042 |
1,980 |
$56K |
| D0150 |
|
1,053 |
1,008 |
$34K |
| D0220 |
|
3,055 |
2,900 |
$32K |
| D0272 |
|
1,482 |
1,410 |
$27K |
| D1208 |
|
1,621 |
1,572 |
$23K |
| D1206 |
|
1,309 |
1,261 |
$17K |
| D2392 |
|
167 |
106 |
$16K |
| D9230 |
|
564 |
520 |
$14K |
| D0140 |
|
659 |
637 |
$11K |
| D1110 |
|
212 |
210 |
$11K |
| D2391 |
|
111 |
71 |
$8K |
| D0274 |
|
142 |
141 |
$4K |
| D7140 |
|
54 |
24 |
$3K |
| D0330 |
|
103 |
98 |
$3K |
| D0603 |
|
4,796 |
4,669 |
$0.00 |