CRAFT SMILES PEDIATRIC DENTISTRY, PLLC
NPI: 1023462736
· NEWBURGH, NY 12550
· 261QD0000X
$244K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,364 |
$34K |
| 2022 |
2,872 |
$73K |
| 2023 |
3,113 |
$77K |
| 2024 |
2,507 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,152 |
2,152 |
$71K |
| D0120 |
|
2,345 |
2,345 |
$55K |
| D1206 |
|
1,011 |
1,011 |
$29K |
| D1208 |
|
1,467 |
1,467 |
$18K |
| D1351 |
|
414 |
164 |
$14K |
| D0272 |
|
1,010 |
1,010 |
$14K |
| D1110 |
|
223 |
223 |
$9K |
| D1354 |
|
250 |
84 |
$9K |
| D2391 |
|
206 |
130 |
$8K |
| D2392 |
|
110 |
73 |
$6K |
| D0220 |
|
297 |
291 |
$3K |
| D0150 |
|
157 |
157 |
$3K |
| D7140 |
|
28 |
24 |
$1K |
| D0274 |
|
39 |
39 |
$963.30 |
| D9230 |
|
121 |
112 |
$800.00 |
| D0230 |
|
26 |
25 |
$205.20 |