Medicaid Provider Spending

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

J & S SMILE PROS

NPI: 1023729258 · CHICOPEE, MA 01020 · State or Local Public Health Clinic/Center · NPI assigned 12/08/2022

$244K

Total Medicaid Paid

6,720

Total Claims

5,614

Beneficiaries

Codes Billed

2023-01

First Month

2024-12

Last Month

Authorized Official	JAMBARD, SARA (PRESIDENT)
NPI Enumeration Date	12/08/2022

Year	Claims	Total Paid
2023	2,717	$100K
2024	4,003	$144K

Code	Description	Claims	Beneficiaries	Total Paid
D1351	Sealant - per tooth	1,569	477	$67K
D1120	Prophylaxis - child	1,268	1,264	$67K
D1208	Topical application of fluoride, excluding varnish	1,797	1,791	$55K
D0190		1,939	1,935	$52K
D1110	Prophylaxis - adult	87	87	$3K
D9410		18	18	$0.00
D1330		42	42	$0.00