Medicaid Provider Spending

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

SOUTH MISSISSIPPI SMILES DENTISTRY LLC

NPI: 1174964530 · GULFPORT, MS 39503 · General Practice Dentistry · NPI assigned 07/15/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ZWICKY, TERESA controls 20+ related entities in our dataset. Read more

$4.80M
Total Medicaid Paid
175,274
Total Claims
138,914
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZWICKY, TERESA (CREDENTIALING MANAGER)
NPI Enumeration Date07/15/2013

Related Entities

Other providers sharing the same authorized official: ZWICKY, TERESA

ProviderCityStateTotal Paid
ROBERTS, WALLACE & ASSOCIATES PLLC GREENSBORO NC $42.13M
HAPPY SMILES LLC HORN LAKE MS $17.37M
YUMA DENTISTRY 4 KIDS PLLC YUMA AZ $16.57M
HAPPY SMILES DENTISTRY - TUPELO LLC TUPELO MS $16.23M
HAPPY SMILES DENTISTRY-MERIDIAN LLC MERIDIAN MS $12.94M
SOUTH MISSISSIPPI SMILES DENTISTRY LLC PASCAGOULA MS $11.58M
ROBERTS & ASSOCIATES - GREENSBORO PLLC GREENSBORO NC $10.81M
FLAGSTAFF DENTISTRY 4 KIDS, PLLC FLAGSTAFF AZ $10.35M
MISSISSIPPI SMILES DENTISTRY LLC JACKSON MS $10.21M
ROBERTS & ASSOCIATES PLLC WILMINGTON NC $9.67M
E. P. DENTISTRY 4 KIDS, PLLC EL PASO TX $8.09M
GENERAL DENTISTRY 4 KIDS-VALENCIA PLLC TUCSON AZ $7.76M
ROBERTS KAMP & ASSOCIATES PLLC GREENVILLE NC $6.39M
MIDLAND DENTISTRY 4 KIDS, PLLC MIDLAND TX $6.37M
E. P. DENTISTRY 4 KIDS 1, PLLC EL PASO TX $6.07M
GENERAL DENTISTRY 4 KIDS-TUCSON, PLLC TUCSON AZ $5.17M
BRADLEY ROBERTS & ASSOCIATES PLLC THOMASVILLE NC $5.16M
EP DENTISTRY 4 KIDS - MESA PLLC EL PASO TX $4.85M
GENERAL DENTISTRY FOR KIDS LLC TUCSON AZ $4.25M
ROBERTS & GARZA ORTHODONTICS SERVICES PLLC SOUTHAVEN MS $3.38M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 24,260 23,349 $725K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5,654 3,083 $627K
D1206 Topical application of fluoride varnish 21,599 20,826 $541K
D1351 Sealant - per tooth 18,582 3,118 $508K
D0120 Periodic oral evaluation - established patient 13,901 13,292 $373K
D0150 Comprehensive oral evaluation - new or established patient 7,341 7,179 $322K
D0330 Panoramic radiographic image 4,280 4,158 $238K
D0272 Bitewings - two radiographic images 10,591 10,212 $208K
D0230 Intraoral - periapical each additional radiographic image 19,106 7,363 $193K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4,911 4,645 $166K
D0274 Bitewings - four radiographic images 5,814 5,653 $166K
D2930 Prefabricated stainless steel crown - primary tooth 1,138 305 $147K
D0220 Intraoral - periapical first radiographic image 9,742 9,486 $126K
D0350 3,950 3,904 $116K
D7140 Extraction, erupted tooth or exposed root 1,496 752 $114K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,163 733 $95K
D0145 Oral evaluation for a patient under three years of age 1,180 1,127 $45K
D1208 Topical application of fluoride, excluding varnish 2,122 1,999 $34K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 174 140 $24K
D0140 Limited oral evaluation - problem focused 510 482 $21K
D0210 Intraoral - complete series of radiographic images 66 66 $5K
D9248 84 79 $4K
D1110 Prophylaxis - adult 69 66 $3K
D2331 20 13 $2K
D0603 17,521 16,884 $0.00