Medicaid Provider Spending

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

LEGACY SMILES OF SAN JUAN PLLC

NPI: 1477320703 · SAN JUAN, TX 78589 · 1223G0001X

$41K

Total Medicaid Paid

1,799

Total Claims

1,298

Beneficiaries

14

Codes Billed

2024-07

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	1,799	$41K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D2391		227	60	$15K
D2392		78	27	$7K
D0150		154	150	$5K
D0230		394	147	$3K
D1120		77	75	$2K
D9230		81	74	$2K
D1208		110	107	$1K
D1110		28	28	$1K
D0220		160	150	$1K
D0210		13	13	$918.32
D0274		36	36	$889.48
D0330		91	88	$791.97
D0350		146	142	$18.38
D0603		204	201	$0.00