Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › LIVE OAK › SMILE DESIGNS BY DR. CHARLOTTE GERRY L/O

SMILE DESIGNS BY DR. CHARLOTTE GERRY L/O

NPI: 1104090943 · LIVE OAK, FL 32064 · 1223G0001X

$8K
Total Medicaid Paid
712
Total Claims
681
Beneficiaries
13
Codes Billed
2019-12
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $520.00
2020 699 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 40 40 $4K
D2391 44 14 $1K
D0272 14 14 $1K
D0150 69 69 $587.00
D1999 13 13 $520.00
D0220 92 92 $406.00
D1330 90 90 $192.00
D1208 101 101 $137.00
D1120 59 59 $76.00
D0120 16 16 $45.00
D0230 81 80 $15.00
D1110 34 34 $0.00
D0330 59 59 $0.00