SMILE STARTERS PEDIATRIC DENTISTRY PLLC
NPI: 1316487788
· HARRISON, NY 10528
· 1223P0221X
$1.37M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
226 |
$6K |
| 2020 |
1,718 |
$35K |
| 2021 |
6,423 |
$160K |
| 2022 |
12,561 |
$307K |
| 2023 |
16,510 |
$413K |
| 2024 |
18,998 |
$452K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
9,777 |
9,777 |
$331K |
| D0120 |
|
9,122 |
9,122 |
$212K |
| D2392 |
|
2,734 |
1,489 |
$171K |
| D1206 |
|
4,784 |
4,783 |
$127K |
| D1351 |
|
2,201 |
746 |
$83K |
| D1110 |
|
1,817 |
1,817 |
$78K |
| D1208 |
|
6,443 |
6,443 |
$78K |
| D0272 |
|
4,980 |
4,979 |
$68K |
| D0220 |
|
5,776 |
5,759 |
$60K |
| D0150 |
|
1,773 |
1,773 |
$41K |
| D2391 |
|
714 |
489 |
$30K |
| D0274 |
|
1,140 |
1,140 |
$27K |
| D7140 |
|
409 |
237 |
$19K |
| D0230 |
|
3,233 |
3,020 |
$19K |
| D1354 |
|
406 |
94 |
$15K |
| D2930 |
|
44 |
26 |
$4K |
| D0330 |
|
124 |
124 |
$4K |
| D2393 |
|
35 |
25 |
$3K |
| D0145 |
|
108 |
108 |
$3K |
| D0603 |
|
402 |
402 |
$484.00 |
| D0140 |
|
25 |
25 |
$317.96 |
| D9990 |
|
49 |
49 |
$176.00 |
| D9999 |
|
64 |
64 |
$0.00 |
| D0602 |
|
16 |
16 |
$0.00 |
| D1999 |
|
260 |
254 |
$0.00 |