SMITH, ROSALYN
NPI: 1043339351
· SWANSEA, IL 62226
· Dentist
· NPI assigned 03/28/2007
$1.95M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,318 |
$210K |
| 2019 |
15,652 |
$327K |
| 2020 |
1,132 |
$34K |
| 2021 |
10,217 |
$300K |
| 2022 |
11,789 |
$341K |
| 2023 |
13,394 |
$396K |
| 2024 |
13,148 |
$346K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
17,217 |
16,897 |
$697K |
| D1206 |
Topical application of fluoride varnish |
17,497 |
17,167 |
$445K |
| D0120 |
Periodic oral evaluation - established patient |
16,583 |
16,284 |
$402K |
| D1351 |
Sealant - per tooth |
5,580 |
2,305 |
$376K |
| D0601 |
|
13,517 |
13,149 |
$26K |
| D0602 |
|
3,256 |
3,196 |
$8K |