SMALL SMILES OF WICHITA, LLC
NPI: 1427024868
· WICHITA, KS 67208
· 1223G0001X
$576K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,307 |
$293K |
| 2019 |
10,072 |
$284K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
5,352 |
1,578 |
$134K |
| D1120 |
|
2,758 |
2,631 |
$85K |
| D0120 |
|
3,367 |
3,213 |
$72K |
| D1206 |
|
3,920 |
3,728 |
$68K |
| D2930 |
|
463 |
198 |
$56K |
| D1110 |
|
989 |
941 |
$40K |
| D0272 |
|
1,934 |
1,848 |
$40K |
| D0274 |
|
862 |
818 |
$25K |
| D0330 |
|
533 |
498 |
$20K |
| D9230 |
|
546 |
495 |
$11K |
| D2150 |
|
162 |
117 |
$10K |
| D2140 |
|
104 |
78 |
$5K |
| D0150 |
|
184 |
162 |
$5K |
| D0240 |
|
158 |
141 |
$3K |
| D0140 |
|
28 |
28 |
$811.94 |
| D0220 |
|
19 |
19 |
$228.00 |