CLEAR SMILE DENTAL STUDIO PLLC
NPI: 1154952513
· STAMFORD, CT 06902
· 1223G0001X
$288K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
427 |
$10K |
| 2021 |
1,153 |
$30K |
| 2022 |
2,385 |
$54K |
| 2023 |
3,237 |
$85K |
| 2024 |
3,495 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,276 |
1,244 |
$47K |
| D0140 |
|
1,189 |
1,106 |
$35K |
| D0330 |
|
648 |
621 |
$34K |
| D0274 |
|
948 |
926 |
$29K |
| D0150 |
|
705 |
667 |
$27K |
| D0220 |
|
2,146 |
1,969 |
$26K |
| D1208 |
|
1,089 |
1,041 |
$20K |
| D2393 |
|
157 |
83 |
$16K |
| D0120 |
|
624 |
613 |
$15K |
| D0230 |
|
1,289 |
1,204 |
$14K |
| D0210 |
|
175 |
164 |
$9K |
| D1206 |
|
336 |
325 |
$6K |
| D2394 |
|
34 |
24 |
$5K |
| D1120 |
|
46 |
45 |
$2K |
| D2391 |
|
20 |
14 |
$1K |
| D2392 |
|
15 |
14 |
$1K |