Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PERFECT TEETH - SMOKY HILL P.C.
NPI: 1194846584 · CENTENNIAL, CO 80015 ·
1223G0001X
$52K
Total Medicaid Paid
1,319
Total Claims
1,253
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
321
$11K
2019
222
$7K
2020
151
$6K
2021
223
$6K
2022
159
$4K
2023
243
$16K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
436
435
$17K
D2392
67
49
$9K
D1110
187
183
$8K
D2391
48
25
$5K
D0210
51
51
$4K
D0220
311
298
$4K
D0140
52
52
$2K
D0120
71
65
$2K
D0230
54
53
$819.97
D1206
42
42
$707.40