COSMIC SMILES PEDIATRIC DENTISTRY
NPI: 1366910333
· FORT LAUDERDALE, FL 33308
· 1223P0221X
$697K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
49 |
$0.00 |
| 2020 |
1,456 |
$23K |
| 2021 |
1,525 |
$17K |
| 2022 |
17,933 |
$269K |
| 2023 |
24,644 |
$346K |
| 2024 |
12,349 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
6,015 |
5,934 |
$164K |
| D0120 |
|
5,395 |
5,337 |
$111K |
| D2930 |
|
1,393 |
468 |
$101K |
| D2392 |
|
2,036 |
1,100 |
$101K |
| D0150 |
|
1,429 |
1,414 |
$58K |
| D1110 |
|
814 |
808 |
$49K |
| D9230 |
|
1,851 |
1,697 |
$28K |
| D7140 |
|
1,163 |
700 |
$25K |
| D2391 |
|
1,166 |
636 |
$23K |
| D0140 |
|
1,064 |
1,035 |
$8K |
| D0330 |
|
508 |
502 |
$8K |
| D9420 |
|
41 |
25 |
$8K |
| D2393 |
|
23 |
12 |
$2K |
| D0272 |
|
3,831 |
3,792 |
$2K |
| D1351 |
|
1,316 |
398 |
$2K |
| D3220 |
|
407 |
184 |
$2K |
| D9310 |
|
59 |
57 |
$2K |
| D0230 |
|
4,789 |
4,654 |
$905.02 |
| D0220 |
|
5,757 |
5,578 |
$691.57 |
| D1330 |
|
6,829 |
6,744 |
$394.69 |
| D1208 |
|
6,751 |
6,665 |
$356.54 |
| D0210 |
|
55 |
39 |
$245.48 |
| D0601 |
|
1,669 |
1,656 |
$147.00 |
| D0274 |
|
608 |
602 |
$120.97 |
| D0603 |
|
2,797 |
2,618 |
$97.96 |
| D2330 |
|
32 |
13 |
$50.53 |
| D0602 |
|
158 |
158 |
$10.00 |