SMILE AND SHINE WATERBURY
NPI: 1225624596
· WATERBURY, CT 06705
· General Practice Dentistry
· NPI assigned 12/21/2020
$663K
Total Medicaid Paid
Provider Details
| Authorized Official | NUNEZ, MICHELLE (OFFICE MANAGER) |
| NPI Enumeration Date | 12/21/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
31 |
$209.38 |
| 2021 |
3,773 |
$130K |
| 2022 |
5,369 |
$191K |
| 2023 |
5,170 |
$177K |
| 2024 |
5,396 |
$165K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
|
3,111 |
2,804 |
$89K |
| D2392 |
|
1,100 |
624 |
$82K |
| D0274 |
|
1,687 |
1,593 |
$54K |
| D0330 |
|
916 |
857 |
$53K |
| D1110 |
|
1,512 |
1,422 |
$52K |
| D1208 |
|
2,223 |
2,119 |
$49K |
| D1120 |
|
1,066 |
1,033 |
$46K |
| D0150 |
|
932 |
798 |
$39K |
| D0120 |
|
1,312 |
1,265 |
$34K |
| D2391 |
|
506 |
287 |
$33K |
| D2393 |
|
356 |
238 |
$32K |
| D0220 |
|
2,688 |
2,411 |
$31K |
| D7210 |
|
148 |
82 |
$15K |
| D0230 |
|
1,394 |
832 |
$14K |
| D0210 |
|
283 |
264 |
$14K |
| D1351 |
|
341 |
78 |
$13K |
| D9613 |
|
53 |
41 |
$8K |
| D0191 |
|
81 |
78 |
$2K |
| D2394 |
|
17 |
12 |
$2K |
| D0272 |
|
13 |
13 |
$386.56 |