BLOSSOM SMILE DENTAL, PLLC
NPI: 1285159137
· EULESS, TX 76040
· 1223G0001X
$264K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,892 |
$71K |
| 2022 |
4,206 |
$111K |
| 2023 |
2,197 |
$51K |
| 2024 |
1,390 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
315 |
306 |
$43K |
| D1120 |
|
1,094 |
1,076 |
$39K |
| D0210 |
|
404 |
395 |
$26K |
| D0120 |
|
899 |
890 |
$26K |
| D1208 |
|
1,679 |
1,647 |
$24K |
| D1110 |
|
401 |
394 |
$21K |
| D0150 |
|
643 |
619 |
$21K |
| D0274 |
|
390 |
386 |
$13K |
| D0220 |
|
1,068 |
1,048 |
$13K |
| D0230 |
|
1,061 |
1,036 |
$12K |
| D2392 |
|
114 |
26 |
$12K |
| D0272 |
|
371 |
368 |
$8K |
| D1351 |
|
183 |
27 |
$5K |
| D9230 |
|
42 |
39 |
$1K |
| D0603 |
|
1,832 |
1,763 |
$264.01 |
| D0601 |
|
189 |
182 |
$0.00 |