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HEALTHY SMILES MOBILE DENTAL FOUNDATION
HEALTHY SMILES MOBILE DENTAL FOUNDATION
NPI: 1235291568
· FRESNO, CA 93723
· 1223G0001X
$10.89M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,551 |
$82K |
| 2019 |
119,807 |
$1.64M |
| 2020 |
50,536 |
$819K |
| 2021 |
120,681 |
$1.96M |
| 2022 |
154,848 |
$2.85M |
| 2023 |
95,809 |
$1.85M |
| 2024 |
93,920 |
$1.69M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
31,144 |
31,134 |
$1.94M |
| D1120 |
|
44,317 |
44,308 |
$1.85M |
| D0230 |
|
362,847 |
53,744 |
$1.47M |
| D0150 |
|
20,066 |
20,062 |
$1.32M |
| D1351 |
|
37,215 |
12,978 |
$1.03M |
| D1310 |
|
9,974 |
9,965 |
$454K |
| D1208 |
|
39,356 |
39,350 |
$446K |
| D2150 |
|
5,778 |
3,681 |
$387K |
| D0272 |
|
27,769 |
27,754 |
$332K |
| D0274 |
|
16,187 |
16,183 |
$329K |
| D2392 |
|
3,096 |
2,137 |
$208K |
| D3220 |
|
1,554 |
1,221 |
$154K |
| D9993 |
|
2,650 |
2,645 |
$145K |
| D0220 |
|
10,510 |
10,372 |
$126K |
| D1206 |
|
4,908 |
4,905 |
$123K |
| D0603 |
|
8,123 |
8,118 |
$121K |
| D2160 |
|
920 |
761 |
$73K |
| D0350 |
|
6,627 |
4,466 |
$63K |
| D2393 |
|
796 |
688 |
$63K |
| D2140 |
|
1,146 |
954 |
$62K |
| D9430 |
|
1,649 |
1,637 |
$52K |
| D7140 |
|
703 |
543 |
$40K |
| D2391 |
|
684 |
607 |
$37K |
| D2930 |
|
200 |
169 |
$24K |
| D0601 |
|
1,238 |
1,237 |
$18K |
| D0602 |
|
358 |
358 |
$5K |
| D2330 |
|
64 |
52 |
$5K |
| D0145 |
|
43 |
43 |
$2K |
| D1354 |
|
214 |
58 |
$2K |
| D1110 |
|
16 |
16 |
$1K |