Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SMART DENTAL HOLDINGS, LLC

NPI: 1013435346 · HOOVER, AL 35244 · Dental Clinic/Center · NPI assigned 09/07/2017

$45K
Total Medicaid Paid
2,458
Total Claims
2,286
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialKNIGHT, CHRISTIE (REVENUE CYCLE DIRECTOR)
Parent OrganizationMCCALLA FAMILY DENTISTRY, PC
NPI Enumeration Date09/07/2017

Related Entities

Other providers sharing the same authorized official: KNIGHT, CHRISTIE

ProviderCityStateTotal Paid
SMART DENTAL HOLDINGS, LLC SYLACAUGA AL $150K
SMART DENTAL HOLDINGS, LLC CENTREVILLE AL $119K
SMART DENTAL HOLDINGS, LLC BESSEMER AL $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,257 $21K
2019 1,152 $22K
2020 49 $953.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 532 496 $13K
D0120 Periodic oral evaluation - established patient 740 693 $12K
D1208 Topical application of fluoride, excluding varnish 489 462 $7K
D0272 Bitewings - two radiographic images 348 322 $6K
D1110 Prophylaxis - adult 105 96 $3K
D1206 Topical application of fluoride varnish 160 140 $2K
D0274 Bitewings - four radiographic images 84 77 $2K