VITAL SMILES ALABAMA PC
NPI: 1134421746
· MOBILE, AL 36606
· 302R00000X
$1.33M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38,315 |
$946K |
| 2019 |
14,491 |
$379K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
7,801 |
7,643 |
$202K |
| D0120 |
|
10,853 |
10,639 |
$182K |
| D1208 |
|
12,602 |
12,284 |
$173K |
| D2930 |
|
1,670 |
822 |
$143K |
| D0330 |
|
2,692 |
2,616 |
$114K |
| D1110 |
|
3,381 |
3,305 |
$110K |
| D2150 |
|
1,984 |
1,216 |
$109K |
| D0272 |
|
4,354 |
4,258 |
$70K |
| D2140 |
|
1,401 |
943 |
$63K |
| D0274 |
|
2,126 |
2,061 |
$45K |
| D7140 |
|
519 |
354 |
$25K |
| D2160 |
|
243 |
168 |
$17K |
| D0150 |
|
826 |
784 |
$16K |
| D3330 |
|
31 |
25 |
$13K |
| D0220 |
|
1,155 |
1,127 |
$12K |
| D1351 |
|
391 |
109 |
$9K |
| D0140 |
|
314 |
310 |
$9K |
| D3220 |
|
96 |
68 |
$8K |
| D0145 |
|
244 |
233 |
$5K |
| D0230 |
|
123 |
65 |
$1K |