Medicaid Provider Spending

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

PASADENA DENTAL SMILE, PLLC

NPI: 1063920015 · PASADENA, TX 77504 · 1223G0001X

$21K
Total Medicaid Paid
416
Total Claims
389
Beneficiaries
6
Codes Billed
2022-01
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 416 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 145 141 $20K
D1120 13 12 $441.00
D1208 26 25 $367.50
D0230 40 25 $310.77
D0220 27 26 $213.52
D0601 165 160 $0.00