Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › DAVENPORT › BEST SMILES FAMILY DENTAL QC

BEST SMILES FAMILY DENTAL QC

NPI: 1386040962 · DAVENPORT, IA 52806 · 1223G0001X

$23K
Total Medicaid Paid
1,379
Total Claims
1,238
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,379 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 157 147 $5K
D1208 280 269 $4K
D0120 209 200 $3K
D1120 153 150 $3K
D0274 143 135 $3K
D0150 108 105 $2K
D0220 152 139 $1K
D0230 162 81 $841.16
D0140 15 12 $275.00