ABOUT SMILES DENTAL, LLC
NPI: 1184061582
· FARGO, ND 58104
· 261QD0000X
$1.71M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,491 |
$247K |
| 2019 |
3,884 |
$158K |
| 2020 |
2,690 |
$116K |
| 2021 |
4,876 |
$228K |
| 2022 |
6,635 |
$304K |
| 2023 |
8,070 |
$318K |
| 2024 |
6,620 |
$334K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,703 |
1,361 |
$285K |
| D1110 |
|
3,863 |
3,572 |
$187K |
| D2391 |
|
1,951 |
1,042 |
$166K |
| D1120 |
|
4,447 |
4,147 |
$158K |
| D0120 |
|
5,841 |
5,431 |
$154K |
| D0330 |
|
2,292 |
2,123 |
$143K |
| D0274 |
|
3,735 |
3,459 |
$130K |
| D1206 |
|
5,168 |
4,708 |
$119K |
| D0150 |
|
2,631 |
2,483 |
$111K |
| D2150 |
|
699 |
391 |
$60K |
| D1208 |
|
2,241 |
2,179 |
$51K |
| D2140 |
|
580 |
326 |
$40K |
| D2393 |
|
222 |
125 |
$30K |
| D0140 |
|
718 |
595 |
$26K |
| D0272 |
|
552 |
513 |
$15K |
| D2160 |
|
90 |
68 |
$10K |
| D2331 |
|
65 |
25 |
$6K |
| D7140 |
|
76 |
38 |
$5K |
| D1351 |
|
170 |
41 |
$5K |
| D9230 |
|
153 |
105 |
$4K |
| D0220 |
|
41 |
40 |
$680.70 |
| D8660 |
|
14 |
14 |
$467.88 |
| D1999 |
|
14 |
14 |
$0.00 |