Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SMILES MOBILE DENTAL SERVICES

NPI: 1164181558 · ANNANDALE, VA 22003 · Dentist · NPI assigned 12/13/2021

$5K
Total Medicaid Paid
71
Total Claims
71
Beneficiaries
3
Codes Billed
2021-12
First Month
2022-03
Last Month

Provider Details

Authorized OfficialCLAROS, CLAUDIA (DENTIST)
NPI Enumeration Date12/13/2021

Related Entities

Other providers sharing the same authorized official: CLAROS, CLAUDIA

ProviderCityStateTotal Paid
CLAROS DENTAL CARE, PC ANNANDALE VA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 23 $2K
2022 48 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9310 36 36 $3K
D0210 Intraoral - complete series of radiographic images 15 15 $1K
D0150 Comprehensive oral evaluation - new or established patient 20 20 $594.89