SMILES TO GO, LLC
NPI: 1043617277
· LIBERTY, MS 39645
· Dentist
· NPI assigned 12/03/2014
$5.39M
Total Medicaid Paid
Provider Details
| Authorized Official | CASEY, SARAH (OWNER) |
| NPI Enumeration Date | 12/03/2014 |
Related Entities
Other providers sharing the same authorized official: CASEY, SARAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26,964 |
$492K |
| 2019 |
55,969 |
$1.10M |
| 2020 |
12,827 |
$284K |
| 2021 |
23,045 |
$479K |
| 2022 |
36,320 |
$936K |
| 2023 |
40,426 |
$1.08M |
| 2024 |
34,116 |
$1.01M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
91,823 |
15,698 |
$2.17M |
| D1120 |
Prophylaxis - child |
34,431 |
29,416 |
$835K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24,651 |
20,854 |
$789K |
| D1206 |
Topical application of fluoride varnish |
29,368 |
25,194 |
$579K |
| D0272 |
Bitewings - two radiographic images |
16,088 |
13,472 |
$260K |
| D0120 |
Periodic oral evaluation - established patient |
10,246 |
9,147 |
$258K |
| D0140 |
Limited oral evaluation - problem focused |
7,332 |
6,169 |
$246K |
| D0274 |
Bitewings - four radiographic images |
4,473 |
3,881 |
$106K |
| D1208 |
Topical application of fluoride, excluding varnish |
7,169 |
6,143 |
$85K |
| D0350 |
|
3,922 |
2,811 |
$60K |
| D1110 |
Prophylaxis - adult |
164 |
164 |
$769.15 |