SMITH, DONOVAN
NPI: 1043302268
· SCOTT, LA 70583
· Dentist
· NPI assigned 09/28/2006
$187K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
219 |
$45K |
| 2022 |
98 |
$45K |
| 2023 |
142 |
$77K |
| 2024 |
29 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
311 |
291 |
$160K |
| D5120 |
|
48 |
46 |
$22K |
| D0330 |
Panoramic radiographic image |
63 |
60 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
66 |
63 |
$1K |