SMILES ON WHEELS
NPI: 1477611234
· JACKSON, MI 49201
· Dentist
· NPI assigned 12/05/2006
Deactivated NPI
· This NPI was deactivated on 10/06/2023. Reactivated 05/21/2024.
$3.48M
Total Medicaid Paid
Provider Details
| Authorized Official | CRABTREE, KIM (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/05/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,828 |
$144K |
| 2019 |
5,838 |
$116K |
| 2020 |
10,918 |
$193K |
| 2021 |
21,137 |
$388K |
| 2022 |
27,867 |
$541K |
| 2023 |
39,759 |
$1.13M |
| 2024 |
34,410 |
$971K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
62,830 |
11,406 |
$1.37M |
| D1120 |
Prophylaxis - child |
24,119 |
24,108 |
$875K |
| D0191 |
|
31,194 |
30,911 |
$602K |
| D1206 |
Topical application of fluoride varnish |
25,088 |
25,076 |
$584K |
| D1110 |
Prophylaxis - adult |
1,123 |
1,112 |
$46K |
| D0603 |
|
672 |
672 |
$0.00 |
| D0602 |
|
718 |
718 |
$0.00 |
| D0601 |
|
13 |
13 |
$0.00 |