SMILE DESIGN DENTAL, P.A.
NPI: 1114131976
· PLANO, TX 75074
· 1223G0001X
$252K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
334 |
$7K |
| 2021 |
2,644 |
$63K |
| 2022 |
2,603 |
$76K |
| 2023 |
2,635 |
$64K |
| 2024 |
1,851 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
875 |
846 |
$46K |
| D0274 |
|
1,291 |
1,246 |
$43K |
| D0120 |
|
1,544 |
1,474 |
$42K |
| D1120 |
|
1,036 |
1,008 |
$37K |
| D1208 |
|
2,022 |
1,954 |
$28K |
| D2392 |
|
143 |
70 |
$14K |
| D2391 |
|
155 |
77 |
$12K |
| D0150 |
|
356 |
342 |
$11K |
| D0272 |
|
453 |
436 |
$10K |
| D0330 |
|
225 |
217 |
$8K |
| D0145 |
|
14 |
12 |
$2K |
| D0603 |
|
368 |
355 |
$0.00 |
| D0601 |
|
1,252 |
1,192 |
$0.00 |
| D0602 |
|
209 |
196 |
$0.00 |
| D1999 |
|
124 |
119 |
$0.00 |