Medicaid Provider Spending

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

HEALTHY SMILES

NPI: 1265054175 · ALBANY, OR 97322 · Dental Clinic/Center · NPI assigned 05/13/2020

$88.00
Total Medicaid Paid
6,144
Total Claims
3,064
Beneficiaries
22
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROSE, BECKI (OFFICE ADMINISTRATOR)
NPI Enumeration Date05/13/2020

Related Entities

Other providers sharing the same authorized official: ROSE, BECKI

ProviderCityStateTotal Paid
HEALTHY SMILES ROSEBURG OR $120K
HEALTHY SMILES MONMOUTH OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,466 $88.00
2021 990 $0.00
2022 712 $0.00
2023 110 $0.00
2024 2,866 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 82 66 $50.00
D0220 Intraoral - periapical first radiographic image 199 157 $38.00
D1206 Topical application of fluoride varnish 119 101 $0.00
D0603 414 329 $0.00
D0150 Comprehensive oral evaluation - new or established patient 240 180 $0.00
D1310 326 279 $0.00
D0230 Intraoral - periapical each additional radiographic image 150 65 $0.00
D1330 1,289 894 $0.00
D1320 105 90 $0.00
D9995 169 166 $0.00
D0210 Intraoral - complete series of radiographic images 98 72 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 50 24 $0.00
D1355 730 27 $0.00
D0602 18 15 $0.00
D0191 417 343 $0.00
D1321 42 33 $0.00
D1110 Prophylaxis - adult 51 46 $0.00
D1354 1,488 75 $0.00
D9996 29 29 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 61 13 $0.00
D0274 Bitewings - four radiographic images 36 32 $0.00
D0330 Panoramic radiographic image 31 28 $0.00