Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› MONA LISA SMILES PLLC
MONA LISA SMILES PLLC
NPI: 1447758701 · BEE CAVE, TX 78738 ·
Orthodontics and Dentofacial Orthopedic Dentist
$4K
Total Medicaid Paid
341
Total Claims
300
Beneficiaries
5
Codes Billed
2021-03
First Month
2023-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
193
$2K
2022
72
$349.86
2023
76
$989.33
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
47
42
$1K
D1206
88
82
$1K
D1120
27
27
$988.58
D0272
14
14
$327.32
D0603
165
135
$0.00