SMILE FACTORY PEDIATRIC DENTISTRY P.L.L.C
NPI: 1154675973
· EAGLE PASS, TX 78852
· 1223P0221X
$3.60M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
151 |
$2K |
| 2019 |
293 |
$4K |
| 2020 |
3,497 |
$72K |
| 2021 |
32,768 |
$744K |
| 2022 |
41,178 |
$857K |
| 2023 |
42,499 |
$1.00M |
| 2024 |
37,329 |
$916K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
|
56,439 |
11,490 |
$507K |
| D0145 |
|
3,326 |
3,235 |
$454K |
| D1351 |
|
15,153 |
3,765 |
$406K |
| D1120 |
|
9,492 |
9,176 |
$335K |
| D0120 |
|
11,109 |
10,728 |
$308K |
| D2392 |
|
3,094 |
2,001 |
$306K |
| D2930 |
|
1,984 |
1,106 |
$275K |
| D9248 |
|
2,445 |
2,301 |
$268K |
| D1208 |
|
12,091 |
11,681 |
$171K |
| D0220 |
|
14,327 |
13,422 |
$154K |
| D1110 |
|
2,563 |
2,460 |
$134K |
| D7140 |
|
1,124 |
809 |
$64K |
| D0272 |
|
2,035 |
2,005 |
$42K |
| D2391 |
|
423 |
295 |
$32K |
| D0150 |
|
874 |
859 |
$30K |
| D0210 |
|
999 |
999 |
$28K |
| D9230 |
|
1,044 |
924 |
$27K |
| D0140 |
|
1,350 |
1,312 |
$24K |
| D3220 |
|
266 |
187 |
$22K |
| D7111 |
|
402 |
287 |
$5K |
| D0330 |
|
111 |
109 |
$3K |
| D0274 |
|
87 |
85 |
$3K |
| D9630 |
|
62 |
57 |
$256.02 |
| D0350 |
|
37 |
29 |
$110.28 |
| D0270 |
|
17 |
16 |
$63.70 |
| D9986 |
|
1,290 |
1,222 |
$0.00 |
| D0603 |
|
15,503 |
14,985 |
$0.00 |
| D1206 |
|
68 |
53 |
$0.00 |