Medicaid Provider Spending

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

AFFORDABLE SMILES OF GRETNA, LLC

NPI: 1023674777 · GRETNA, LA 70056 · 1223G0001X

$208K

Total Medicaid Paid

9,353

Total Claims

4,786

Beneficiaries

11

Codes Billed

2020-10

First Month

2024-08

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2020	139	$3K
2021	1,614	$33K
2022	1,233	$34K
2023	5,156	$117K
2024	1,211	$22K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0210		2,329	1,250	$56K
D0150		2,518	1,360	$53K
D0330		1,885	1,001	$31K
D1110		1,039	567	$25K
D7210		478	127	$20K
D2392		240	76	$10K
D2391		164	65	$6K
D0120		331	187	$5K
D0274		188	88	$2K
D0220		96	40	$434.00
D0230		85	25	$183.40