Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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AFFORDABLE SMILES OF BATON ROUGE, LLC

NPI: 1174009633 · BATON ROUGE, LA 70816 · General Practice Dentistry · NPI assigned 07/17/2018

$191K
Total Medicaid Paid
5,920
Total Claims
3,306
Beneficiaries
8
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOATS, SAMANTHA (INSURANCE CREDENTIALING MANAGER)
NPI Enumeration Date07/17/2018

Related Entities

Other providers sharing the same authorized official: COATS, SAMANTHA

ProviderCityStateTotal Paid
AFFORDABLE SMILES OF HAMMOND, LLC HAMMOND LA $213K
AFFORDABLE SMILES OF GRETNA, LLC GRETNA LA $208K
AFFORDABLE SMILES OF METAIRIE, LLC METAIRIE LA $131K
EXCEPTIONAL DENTAL OF WATSON, LLC DENHAM SPRINGS LA $81K
EXCEPTIONAL DENTAL OF UPTOWN, LLC NEW ORLEANS LA $18K
AFFORDABLE SMILES OF MANDEVILLE, LLC MANDEVILLE LA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $244.86
2020 125 $4K
2021 961 $24K
2022 2,202 $82K
2023 1,799 $50K
2024 819 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 2,573 1,530 $71K
D0210 Intraoral - complete series of radiographic images 1,878 1,084 $61K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 582 192 $33K
D1110 Prophylaxis - adult 477 284 $13K
D0330 Panoramic radiographic image 232 152 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 89 27 $4K
D7140 Extraction, erupted tooth or exposed root 53 12 $2K
D0120 Periodic oral evaluation - established patient 36 25 $619.14