HEALTHY SMILES FAMILY DENTISTRY
NPI: 1427456144
· GULFPORT, MS 39503
· 1223G0001X
$880K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,278 |
$17K |
| 2019 |
2,146 |
$55K |
| 2020 |
2,227 |
$58K |
| 2021 |
4,684 |
$175K |
| 2022 |
7,521 |
$242K |
| 2023 |
3,915 |
$105K |
| 2024 |
5,428 |
$228K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2392 |
|
2,013 |
1,079 |
$188K |
| D1120 |
|
3,728 |
3,229 |
$93K |
| D0140 |
|
2,630 |
2,214 |
$86K |
| D2391 |
|
1,119 |
611 |
$77K |
| D0330 |
|
2,240 |
1,822 |
$73K |
| D0150 |
|
1,915 |
1,584 |
$55K |
| D1206 |
|
2,624 |
2,315 |
$54K |
| D2393 |
|
448 |
278 |
$50K |
| D0274 |
|
2,374 |
2,046 |
$50K |
| D0120 |
|
2,050 |
1,804 |
$46K |
| D7140 |
|
644 |
251 |
$37K |
| D0220 |
|
2,911 |
2,318 |
$26K |
| D1351 |
|
1,042 |
165 |
$24K |
| D1208 |
|
456 |
402 |
$7K |
| D0272 |
|
279 |
225 |
$4K |
| D0210 |
|
61 |
61 |
$4K |
| D1110 |
|
406 |
318 |
$2K |
| D0230 |
|
198 |
131 |
$2K |
| D0270 |
|
42 |
26 |
$162.03 |
| D1999 |
|
19 |
19 |
$0.00 |