WHITE AND HEALTHY SMILE CENTER,LLC
NPI: 1295020576
· BAYONNE, NJ 07002
· 1223G0001X
$224K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,516 |
$20K |
| 2019 |
2,684 |
$32K |
| 2020 |
1,588 |
$16K |
| 2021 |
1,157 |
$20K |
| 2022 |
2,086 |
$49K |
| 2023 |
1,777 |
$63K |
| 2024 |
894 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2751 |
|
325 |
251 |
$86K |
| D0150 |
|
1,463 |
1,461 |
$21K |
| D4355 |
|
434 |
431 |
$21K |
| D0210 |
|
1,133 |
1,131 |
$19K |
| D0120 |
|
1,049 |
1,036 |
$18K |
| D0140 |
|
1,073 |
789 |
$17K |
| D1110 |
|
892 |
884 |
$9K |
| D0274 |
|
982 |
969 |
$7K |
| D0220 |
|
1,976 |
1,906 |
$6K |
| D2954 |
|
140 |
120 |
$6K |
| D2392 |
|
140 |
82 |
$4K |
| D0230 |
|
1,230 |
1,209 |
$3K |
| D1206 |
|
233 |
233 |
$2K |
| D1120 |
|
210 |
210 |
$2K |
| D2391 |
|
58 |
24 |
$2K |
| D1351 |
|
83 |
12 |
$540.00 |
| D7140 |
|
21 |
14 |
$300.00 |
| D1208 |
|
260 |
259 |
$102.00 |