Medicaid Provider Spending

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

BRIGHT SMILE DENTAL

NPI: 1225421662 · ORLANDO, FL 32809 · General Practice Dentistry · NPI assigned 03/10/2015

$22K
Total Medicaid Paid
2,533
Total Claims
1,994
Beneficiaries
11
Codes Billed
2023-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHANASASAVAT, SIRIN (DENTIST)
NPI Enumeration Date03/10/2015

Related Entities

Other providers sharing the same authorized official: THANASASAVAT, SIRIN

ProviderCityStateTotal Paid
SIRIN THANASASAVAT DMD PA ORLANDO FL $368K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 249 $1K
2024 2,284 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 245 243 $6K
D1120 Prophylaxis - child 148 148 $5K
D1208 Topical application of fluoride, excluding varnish 288 288 $3K
D0230 Intraoral - periapical each additional radiographic image 790 256 $2K
D1110 Prophylaxis - adult 36 36 $2K
D1330 294 294 $2K
D0220 Intraoral - periapical first radiographic image 264 261 $1K
D0272 Bitewings - two radiographic images 57 57 $430.08
D0190 85 85 $46.28
D0601 241 241 $30.00
D1999 85 85 $0.00