MASS HEALTHY SMILES, LLC
NPI: 1215290606
· BRIDGEWATER, MA 02324
· 124Q00000X
$404K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
496 |
$15K |
| 2019 |
2,049 |
$65K |
| 2020 |
413 |
$13K |
| 2021 |
966 |
$34K |
| 2022 |
1,802 |
$62K |
| 2023 |
2,124 |
$75K |
| 2024 |
4,008 |
$139K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
3,682 |
1,016 |
$137K |
| D1120 |
|
2,605 |
2,588 |
$116K |
| D1206 |
|
2,744 |
2,728 |
$74K |
| D0190 |
|
2,766 |
2,747 |
$74K |
| D9110 |
|
29 |
29 |
$2K |
| D1110 |
|
32 |
32 |
$2K |