NORTHWEST SMILE DENTAL AND DENTURE
NPI: 1083168512
· OLYMPIA, WA 98516
· 261QD0000X
$874K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,503 |
$36K |
| 2019 |
1,648 |
$39K |
| 2020 |
1,531 |
$40K |
| 2021 |
1,498 |
$42K |
| 2022 |
2,635 |
$146K |
| 2023 |
4,757 |
$289K |
| 2024 |
4,686 |
$282K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
3,056 |
481 |
$349K |
| D9110 |
|
2,043 |
1,823 |
$127K |
| D1110 |
|
1,520 |
1,429 |
$66K |
| D0150 |
|
1,862 |
1,733 |
$65K |
| D0330 |
|
1,497 |
1,402 |
$49K |
| D7530 |
|
330 |
307 |
$43K |
| D1208 |
|
1,647 |
1,558 |
$28K |
| D2392 |
|
339 |
138 |
$27K |
| D0140 |
|
874 |
803 |
$26K |
| D2391 |
|
549 |
233 |
$23K |
| D2393 |
|
291 |
134 |
$21K |
| D0274 |
|
1,565 |
1,485 |
$17K |
| D0220 |
|
1,173 |
1,089 |
$14K |
| D4341 |
|
227 |
54 |
$9K |
| D0120 |
|
212 |
210 |
$7K |
| D0230 |
|
1,073 |
994 |
$3K |