BRIGHT SMILES DENTAL III, PC
NPI: 1295137552
· MARBLE FALLS, TX 78654
· 1223G0001X
$343K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
657 |
$18K |
| 2021 |
8,037 |
$206K |
| 2022 |
5,243 |
$119K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
2,107 |
360 |
$52K |
| D2392 |
|
573 |
244 |
$50K |
| D0120 |
|
1,188 |
1,121 |
$31K |
| D0145 |
|
238 |
220 |
$30K |
| D1110 |
|
569 |
531 |
$28K |
| D1120 |
|
780 |
732 |
$25K |
| D2391 |
|
328 |
161 |
$23K |
| D0274 |
|
646 |
606 |
$20K |
| D1208 |
|
1,376 |
1,294 |
$18K |
| D0220 |
|
1,566 |
1,423 |
$17K |
| D9230 |
|
637 |
552 |
$16K |
| D0230 |
|
1,431 |
1,319 |
$15K |
| D0272 |
|
676 |
636 |
$14K |
| D0150 |
|
105 |
94 |
$3K |
| D0603 |
|
1,717 |
1,618 |
$0.00 |