SMILES IN BLOOM PEDIATRIC DENTSITRY
NPI: 1346623600
· EAST WINDSOR, CT 06088
· 1223P0221X
$5.98M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,683 |
$604K |
| 2019 |
14,317 |
$633K |
| 2020 |
13,519 |
$616K |
| 2021 |
18,938 |
$869K |
| 2022 |
21,764 |
$971K |
| 2023 |
25,489 |
$1.17M |
| 2024 |
24,981 |
$1.11M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
30,714 |
30,129 |
$1.33M |
| D0120 |
|
24,935 |
24,482 |
$823K |
| D1208 |
|
29,738 |
29,160 |
$812K |
| D2392 |
|
6,494 |
3,867 |
$663K |
| D9230 |
|
8,909 |
7,677 |
$498K |
| D0272 |
|
9,053 |
8,895 |
$271K |
| D7140 |
|
2,463 |
1,561 |
$260K |
| D2391 |
|
2,992 |
2,267 |
$254K |
| D0330 |
|
3,146 |
3,085 |
$243K |
| D2930 |
|
1,188 |
630 |
$223K |
| D0150 |
|
3,564 |
3,516 |
$220K |
| D1351 |
|
3,803 |
1,009 |
$141K |
| D0274 |
|
2,793 |
2,753 |
$126K |
| D0140 |
|
1,876 |
1,823 |
$85K |
| D0220 |
|
920 |
894 |
$16K |
| D8670 |
|
103 |
103 |
$9K |