Medicaid Provider Spending

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

SMART DENTAL HOLDINGS, LLC

NPI: 1043313281 · BESSEMER, AL 35022 · General Practice Dentistry · NPI assigned 09/06/2006

$20K
Total Medicaid Paid
1,026
Total Claims
965
Beneficiaries
10
Codes Billed
2018-02
First Month
2021-06
Last Month

Provider Details

Authorized OfficialKNIGHT, CHRISTIE (REVENUE CYCLE DIRECTOR)
Parent OrganizationMCCALLA FAMILY DENTISTRY, PC
NPI Enumeration Date09/06/2006

Related Entities

Other providers sharing the same authorized official: KNIGHT, CHRISTIE

ProviderCityStateTotal Paid
SMART DENTAL HOLDINGS, LLC SYLACAUGA AL $150K
SMART DENTAL HOLDINGS, LLC CENTREVILLE AL $119K
SMART DENTAL HOLDINGS, LLC HOOVER AL $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 498 $9K
2019 277 $6K
2020 211 $4K
2021 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 409 394 $8K
D1110 Prophylaxis - adult 103 97 $4K
D1120 Prophylaxis - child 116 110 $3K
D1208 Topical application of fluoride, excluding varnish 145 141 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 23 12 $974.00
D1206 Topical application of fluoride varnish 78 73 $920.00
D0272 Bitewings - two radiographic images 66 61 $882.00
D0274 Bitewings - four radiographic images 32 30 $756.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 35 30 $560.00
D1999 19 17 $0.00