SMILEY DENTAL-CAMP BOWIE PLLC
NPI: 1255586574
· FORT WORTH, TX 76116
· 1223G0001X
$496K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
645 |
$16K |
| 2021 |
8,237 |
$235K |
| 2022 |
3,912 |
$90K |
| 2023 |
3,995 |
$92K |
| 2024 |
3,319 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,213 |
441 |
$116K |
| D1351 |
|
2,566 |
561 |
$70K |
| D0120 |
|
2,042 |
2,022 |
$57K |
| D1120 |
|
1,420 |
1,402 |
$50K |
| D1208 |
|
2,545 |
2,518 |
$36K |
| D1110 |
|
537 |
532 |
$28K |
| D0220 |
|
1,885 |
1,864 |
$23K |
| D0272 |
|
1,012 |
997 |
$22K |
| D0230 |
|
1,912 |
1,657 |
$20K |
| D0274 |
|
592 |
588 |
$17K |
| D0350 |
|
1,008 |
983 |
$17K |
| D0145 |
|
112 |
112 |
$16K |
| D9230 |
|
404 |
391 |
$11K |
| D0150 |
|
165 |
162 |
$6K |
| D2391 |
|
55 |
27 |
$4K |
| D0330 |
|
102 |
101 |
$3K |
| D0602 |
|
1,358 |
1,346 |
$0.00 |
| D0603 |
|
1,180 |
1,167 |
$0.00 |