Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › WAIPAHU › SMILE DENTAL CENTER INC.

SMILE DENTAL CENTER INC.

NPI: 1487974093 · WAIPAHU, HI 96797 · 1223G0001X

$32K
Total Medicaid Paid
1,970
Total Claims
1,962
Beneficiaries
10
Codes Billed
2018-01
First Month
2021-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,010 $16K
2019 514 $8K
2020 270 $4K
2021 176 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 261 261 $8K
D0220 599 594 $6K
D0274 169 169 $4K
D1120 130 130 $3K
D1208 384 384 $3K
D0230 293 290 $2K
D0140 55 55 $2K
D1110 41 41 $1K
D0150 26 26 $757.12
D0210 12 12 $698.88