YOUR SMILE DENTAL OF FREEPORT PLLC
NPI: 1053896555
· FREEPORT, NY 11520
· 122300000X
$265K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
83 |
$2K |
| 2020 |
1,666 |
$35K |
| 2021 |
2,947 |
$65K |
| 2022 |
2,034 |
$48K |
| 2023 |
2,700 |
$69K |
| 2024 |
1,995 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
2,018 |
2,014 |
$74K |
| D0120 |
|
1,489 |
1,485 |
$29K |
| D2392 |
|
520 |
345 |
$29K |
| D0274 |
|
1,284 |
1,280 |
$25K |
| D0210 |
|
664 |
658 |
$21K |
| D0220 |
|
1,893 |
1,868 |
$16K |
| D9310 |
|
363 |
362 |
$14K |
| D0150 |
|
634 |
634 |
$14K |
| D7210 |
|
156 |
74 |
$11K |
| D2391 |
|
232 |
145 |
$9K |
| D0230 |
|
1,358 |
1,347 |
$8K |
| D0330 |
|
229 |
229 |
$6K |
| D0140 |
|
286 |
282 |
$3K |
| D1120 |
|
96 |
96 |
$3K |
| D1208 |
|
184 |
184 |
$2K |
| D2393 |
|
19 |
14 |
$1K |