Medicaid Provider Spending

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

SMILE WELLNESS LLC

NPI: 1275316267 · PISCATAWAY, NJ 08854 · Dentist · NPI assigned 08/15/2023

$6K
Total Medicaid Paid
357
Total Claims
278
Beneficiaries
6
Codes Billed
2024-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTANNA, POOJA (OWNER DENTIST)
NPI Enumeration Date08/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 357 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 137 113 $3K
D1110 Prophylaxis - adult 84 74 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 28 12 $1K
D0274 Bitewings - four radiographic images 28 25 $180.00
D0220 Intraoral - periapical first radiographic image 45 42 $164.00
D0230 Intraoral - periapical each additional radiographic image 35 12 $66.00