SONRISAS RADIANTES DENTAL CLINIC(CSP)
NPI: 1003947284
· VEGA ALTA, PR 00692
· 261QD0000X
$2.74M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,396 |
$212K |
| 2019 |
24,213 |
$383K |
| 2020 |
13,498 |
$233K |
| 2021 |
17,423 |
$295K |
| 2022 |
19,464 |
$348K |
| 2023 |
21,645 |
$371K |
| 2024 |
47,340 |
$902K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
25,980 |
21,274 |
$484K |
| D1208 |
|
30,072 |
24,625 |
$420K |
| D1999 |
|
28,084 |
22,217 |
$417K |
| D0120 |
|
24,622 |
20,268 |
$340K |
| D1351 |
|
15,374 |
2,632 |
$238K |
| D2150 |
|
5,626 |
3,244 |
$234K |
| D0272 |
|
11,358 |
9,451 |
$163K |
| D7140 |
|
3,449 |
1,924 |
$149K |
| D0150 |
|
4,127 |
3,274 |
$81K |
| D2140 |
|
2,238 |
1,201 |
$76K |
| D1110 |
|
2,624 |
2,120 |
$71K |
| D0230 |
|
3,731 |
2,384 |
$27K |
| D2160 |
|
492 |
381 |
$20K |
| D3220 |
|
353 |
221 |
$15K |
| D0220 |
|
603 |
477 |
$4K |
| D0140 |
|
208 |
185 |
$3K |
| D0330 |
|
38 |
38 |
$1K |