SOUTH MISSISSIPPI SMILES DENTISTRY LLC
NPI: 1174964530
· GULFPORT, MS 39503
· General Practice Dentistry
$4.80M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,825 |
$53K |
| 2019 |
2,931 |
$68K |
| 2020 |
3,191 |
$60K |
| 2021 |
29,513 |
$816K |
| 2022 |
37,895 |
$1.11M |
| 2023 |
48,235 |
$1.39M |
| 2024 |
51,684 |
$1.31M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
24,260 |
23,349 |
$725K |
| D2392 |
|
5,654 |
3,083 |
$627K |
| D1206 |
|
21,599 |
20,826 |
$541K |
| D1351 |
|
18,582 |
3,118 |
$508K |
| D0120 |
|
13,901 |
13,292 |
$373K |
| D0150 |
|
7,341 |
7,179 |
$322K |
| D0330 |
|
4,280 |
4,158 |
$238K |
| D0272 |
|
10,591 |
10,212 |
$208K |
| D0230 |
|
19,106 |
7,363 |
$193K |
| D9230 |
|
4,911 |
4,645 |
$166K |
| D0274 |
|
5,814 |
5,653 |
$166K |
| D2930 |
|
1,138 |
305 |
$147K |
| D0220 |
|
9,742 |
9,486 |
$126K |
| D0350 |
|
3,950 |
3,904 |
$116K |
| D7140 |
|
1,496 |
752 |
$114K |
| D2391 |
|
1,163 |
733 |
$95K |
| D0145 |
|
1,180 |
1,127 |
$45K |
| D1208 |
|
2,122 |
1,999 |
$34K |
| D2393 |
|
174 |
140 |
$24K |
| D0140 |
|
510 |
482 |
$21K |
| D0210 |
|
66 |
66 |
$5K |
| D9248 |
|
84 |
79 |
$4K |
| D1110 |
|
69 |
66 |
$3K |
| D2331 |
|
20 |
13 |
$2K |
| D0603 |
|
17,521 |
16,884 |
$0.00 |