Medicaid Provider Spending

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

BRIGHTER SMILES FAMILY DENTAL, PA

NPI: 1033484654 · SEA GIRT, NJ 08750 · General Practice Dentistry · NPI assigned 03/14/2012

$58K
Total Medicaid Paid
3,888
Total Claims
3,859
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialHERNANDEZ, MEGHAN (PRESIDENT)
NPI Enumeration Date03/14/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 792 $15K
2019 783 $13K
2020 1,093 $12K
2021 881 $11K
2022 339 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,128 1,127 $23K
D1110 Prophylaxis - adult 1,092 1,091 $22K
D0274 Bitewings - four radiographic images 499 499 $7K
D1208 Topical application of fluoride, excluding varnish 590 589 $6K
D1120 Prophylaxis - child 26 26 $660.00
D1206 Topical application of fluoride varnish 37 37 $561.00
D0272 Bitewings - two radiographic images 45 45 $315.70
D0150 Comprehensive oral evaluation - new or established patient 12 12 $120.00
D0220 Intraoral - periapical first radiographic image 24 24 $105.60
D1999 435 409 $0.00