Medicaid Provider Spending

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

A WINNING SMILE LLC

NPI: 1275749061 · BRIDGEPORT, CT 06606 · General Practice Dentistry · NPI assigned 05/16/2007

$43K
Total Medicaid Paid
1,577
Total Claims
1,539
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialKARANDISECKY, ELLEN (DOCTOR)
NPI Enumeration Date05/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,023 $29K
2019 554 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 420 414 $10K
D1208 Topical application of fluoride, excluding varnish 493 482 $10K
D1110 Prophylaxis - adult 290 282 $9K
D0274 Bitewings - four radiographic images 199 193 $6K
D0210 Intraoral - complete series of radiographic images 86 82 $4K
D1120 Prophylaxis - child 89 86 $4K