Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BANANA SMILES PEDIATRIC DENTISTRY PLLC

NPI: 1447947924 · ELMHURST, NY 11373 · 1223P0221X

$200K
Total Medicaid Paid
8,622
Total Claims
7,420
Beneficiaries
17
Codes Billed
2023-05
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 2,508 $55K
2024 6,114 $145K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 1,294 1,294 $42K
D1351 1,285 285 $40K
D0120 1,021 1,020 $22K
D1208 1,323 1,322 $15K
D2392 249 115 $13K
D1110 309 309 $13K
D0150 563 563 $13K
D0240 622 571 $12K
D0272 853 852 $11K
D1206 343 342 $7K
D0330 136 136 $4K
D0220 264 263 $3K
D2393 25 13 $2K
D0274 81 81 $2K
D0230 200 200 $1K
D0210 41 41 $519.27
D0140 13 13 $149.11