Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
PR
›
ANASCO
› UNIQUE SMILE DENTAL CLINIC LLC
UNIQUE SMILE DENTAL CLINIC LLC
NPI: 1164206660 · ANASCO, PR 00610 ·
1223D0001X
$82K
Total Medicaid Paid
3,896
Total Claims
2,549
Beneficiaries
9
Codes Billed
2024-08
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2024
3,896
$82K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
694
477
$24K
D1999
1,119
735
$16K
D0120
674
464
$11K
D0330
274
175
$9K
D0272
442
293
$7K
D1208
287
179
$4K
D0150
168
101
$4K
D2150
77
30
$3K
D1120
161
95
$3K