MISSISSIPPI SMILES DENTISTRY LLC
NPI: 1346782893
· JACKSON, MS 39213
· 1223G0001X
$2.45M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
627 |
$19K |
| 2019 |
5,559 |
$119K |
| 2020 |
7,785 |
$179K |
| 2021 |
14,668 |
$393K |
| 2022 |
17,983 |
$458K |
| 2023 |
20,608 |
$631K |
| 2024 |
25,490 |
$653K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
13,818 |
12,930 |
$400K |
| D1351 |
|
14,338 |
2,714 |
$374K |
| D1206 |
|
12,766 |
12,029 |
$312K |
| D0120 |
|
7,697 |
7,094 |
$199K |
| D2392 |
|
1,910 |
1,067 |
$195K |
| D2930 |
|
1,523 |
385 |
$192K |
| D0150 |
|
4,000 |
3,820 |
$170K |
| D0272 |
|
5,980 |
5,578 |
$114K |
| D0330 |
|
1,763 |
1,678 |
$95K |
| D0274 |
|
3,081 |
2,894 |
$85K |
| D9230 |
|
2,127 |
1,830 |
$61K |
| D0220 |
|
4,915 |
4,659 |
$60K |
| D0350 |
|
2,041 |
2,028 |
$58K |
| D0230 |
|
5,152 |
3,521 |
$52K |
| D7140 |
|
353 |
190 |
$27K |
| D9248 |
|
595 |
539 |
$26K |
| D1208 |
|
706 |
606 |
$10K |
| D0145 |
|
272 |
255 |
$10K |
| D2391 |
|
80 |
50 |
$6K |
| D0210 |
|
47 |
47 |
$4K |
| D2393 |
|
18 |
12 |
$3K |
| D0140 |
|
69 |
60 |
$3K |
| D1110 |
|
17 |
17 |
$249.47 |
| D0603 |
|
9,452 |
8,842 |
$0.00 |