Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › BURLINGTON › SMILE SHOPPE

SMILE SHOPPE

NPI: 1356518500 · BURLINGTON, IA 52601 · 122300000X

$1K
Total Medicaid Paid
29
Total Claims
27
Beneficiaries
2
Codes Billed
2018-06
First Month
2018-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 14 13 $651.33
D0120 15 14 $456.00