SPECIAL CARE SMILES, LLC
NPI: 1306434584
· WILKES BARRE, PA 18702
· 261QD0000X
$537K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
85 |
$8K |
| 2024 |
17,127 |
$529K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
1,301 |
1,228 |
$159K |
| D2392 |
|
933 |
478 |
$55K |
| D0120 |
|
2,397 |
2,386 |
$43K |
| D1120 |
|
1,518 |
1,514 |
$42K |
| D7140 |
|
528 |
239 |
$36K |
| D2391 |
|
706 |
433 |
$35K |
| D1110 |
|
1,046 |
1,038 |
$33K |
| D1206 |
|
1,864 |
1,854 |
$31K |
| D1351 |
|
977 |
262 |
$24K |
| D2393 |
|
245 |
172 |
$15K |
| D0274 |
|
461 |
458 |
$12K |
| D1310 |
|
1,730 |
1,720 |
$9K |
| D1330 |
|
1,730 |
1,720 |
$9K |
| D0272 |
|
522 |
521 |
$8K |
| D0330 |
|
168 |
164 |
$5K |
| D2332 |
|
69 |
40 |
$4K |
| D9230 |
|
97 |
83 |
$4K |
| D0150 |
|
198 |
196 |
$4K |
| D0140 |
|
61 |
61 |
$3K |
| D0220 |
|
363 |
359 |
$3K |
| D0601 |
|
184 |
181 |
$2K |
| D2330 |
|
19 |
13 |
$1K |
| D0230 |
|
56 |
56 |
$720.93 |
| D0603 |
|
39 |
39 |
$370.00 |