KID SMILES PEDIATRIC DENTISTRY PC
NPI: 1144544016
· YONKERS, NY 10701
· 1223P0221X
$2.55M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,480 |
$163K |
| 2019 |
8,159 |
$230K |
| 2020 |
9,066 |
$249K |
| 2021 |
15,649 |
$456K |
| 2022 |
19,314 |
$560K |
| 2023 |
16,062 |
$465K |
| 2024 |
16,096 |
$429K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2392 |
|
6,282 |
3,563 |
$564K |
| D1120 |
|
13,520 |
13,516 |
$443K |
| D0120 |
|
13,920 |
13,914 |
$312K |
| D1351 |
|
3,761 |
2,131 |
$202K |
| D1208 |
|
16,111 |
16,109 |
$183K |
| D7140 |
|
2,883 |
2,340 |
$135K |
| D2393 |
|
1,340 |
1,016 |
$111K |
| D1110 |
|
2,552 |
2,551 |
$111K |
| D0272 |
|
7,732 |
7,731 |
$103K |
| D0220 |
|
9,038 |
9,010 |
$96K |
| D2930 |
|
776 |
637 |
$82K |
| D3220 |
|
791 |
652 |
$63K |
| D0150 |
|
2,205 |
2,205 |
$50K |
| D0330 |
|
1,498 |
1,498 |
$45K |
| D0230 |
|
6,659 |
6,655 |
$37K |
| D2330 |
|
125 |
58 |
$5K |
| D0140 |
|
430 |
428 |
$5K |
| D9230 |
|
119 |
111 |
$4K |
| D0145 |
|
14 |
14 |
$342.25 |
| D9999 |
|
18 |
18 |
$0.00 |
| D1999 |
|
52 |
50 |
$0.00 |