Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
NM
›
SHIPROCK
› NIZHONI SMILES, INC.
NIZHONI SMILES, INC.
NPI: 1295890416 · SHIPROCK, NM 87420 ·
1223G0001X
$83K
Total Medicaid Paid
3,771
Total Claims
3,354
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
580
$16K
2019
987
$20K
2020
846
$22K
2021
437
$8K
2022
324
$6K
2023
94
$2K
2024
503
$10K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
634
629
$21K
D1208
729
726
$13K
D0274
449
443
$12K
D1120
302
298
$9K
D0230
762
448
$8K
D0220
654
645
$7K
D2392
93
56
$6K
D2391
96
57
$5K
D8660
16
16
$2K
D0210
12
12
$666.44
D1206
12
12
$226.08
D0330
12
12
$87.89