Medicaid Provider Spending

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

SMILEVILLE DENTAL CENTER

NPI: 1194138917 · WESLEY CHAPEL, FL 33544 · General Practice Dentistry · NPI assigned 06/09/2014

$11K
Total Medicaid Paid
621
Total Claims
567
Beneficiaries
8
Codes Billed
2020-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialMEJIAS, KAREN (PRESIDENT)
NPI Enumeration Date06/09/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 155 $4K
2022 466 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 127 125 $6K
D1110 Prophylaxis - adult 92 91 $5K
D0220 Intraoral - periapical first radiographic image 25 25 $0.00
D0274 Bitewings - four radiographic images 41 41 $0.00
D1208 Topical application of fluoride, excluding varnish 164 159 $0.00
D1330 98 98 $0.00
D0230 Intraoral - periapical each additional radiographic image 13 13 $0.00
D1351 Sealant - per tooth 61 15 $0.00