LOADS OF SMILES, LLC
NPI: 1376886812
· SOUTH DAYTONA, FL 32119
· Medically Fragile Infants and Children Day Care
· NPI assigned 04/03/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
$5.69M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,390 |
$120K |
| 2019 |
3,096 |
$620K |
| 2020 |
2,131 |
$340K |
| 2021 |
2,455 |
$371K |
| 2022 |
1,943 |
$319K |
| 2023 |
7,476 |
$1.88M |
| 2024 |
8,101 |
$2.04M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
26,405 |
1,890 |
$5.66M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
187 |
87 |
$25K |