SMILES BY ROSIE, INC.
NPI: 1326304841
· SOMERVILLE, MA 02145
· General Practice Dentistry
· NPI assigned 04/10/2012
$311K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,947 |
$69K |
| 2019 |
1,327 |
$47K |
| 2020 |
983 |
$31K |
| 2021 |
919 |
$28K |
| 2022 |
1,266 |
$43K |
| 2023 |
1,388 |
$48K |
| 2024 |
1,167 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,259 |
2,200 |
$111K |
| D0274 |
Bitewings - four radiographic images |
2,480 |
2,415 |
$88K |
| D0120 |
Periodic oral evaluation - established patient |
2,509 |
2,451 |
$57K |
| D1120 |
Prophylaxis - child |
650 |
642 |
$31K |
| D1208 |
Topical application of fluoride, excluding varnish |
551 |
543 |
$15K |
| D1206 |
Topical application of fluoride varnish |
274 |
270 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
182 |
173 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
12 |
$191.00 |
| D1999 |
|
76 |
72 |
$0.00 |