LITTLE SMILES OF SURPRISE
NPI: 1134181332
· EL MIRAGE, AZ 85335
· 1223G0001X
$277K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
828 |
$15K |
| 2019 |
1,031 |
$18K |
| 2020 |
940 |
$15K |
| 2021 |
1,122 |
$20K |
| 2022 |
3,844 |
$63K |
| 2023 |
4,854 |
$80K |
| 2024 |
3,907 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,183 |
2,092 |
$71K |
| D0120 |
|
1,916 |
1,819 |
$41K |
| D1208 |
|
1,955 |
1,858 |
$30K |
| D0220 |
|
2,665 |
2,536 |
$29K |
| D0230 |
|
2,507 |
2,331 |
$22K |
| D0272 |
|
1,320 |
1,260 |
$22K |
| D1206 |
|
815 |
793 |
$14K |
| D2392 |
|
187 |
78 |
$13K |
| D0274 |
|
442 |
411 |
$11K |
| D1110 |
|
254 |
240 |
$10K |
| D0150 |
|
191 |
190 |
$7K |
| D0330 |
|
174 |
161 |
$7K |
| D0601 |
|
893 |
835 |
$0.00 |
| D0602 |
|
733 |
699 |
$0.00 |
| D0603 |
|
291 |
279 |
$0.00 |