COMPLETE SMILES DENTAL PC
NPI: 1497161053
· REGO PARK, NY 11374
· 122300000X
$452K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
106 |
$4K |
| 2019 |
659 |
$21K |
| 2020 |
2,291 |
$69K |
| 2021 |
3,358 |
$100K |
| 2022 |
2,765 |
$68K |
| 2023 |
3,520 |
$93K |
| 2024 |
3,658 |
$98K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,325 |
3,325 |
$133K |
| D2391 |
|
1,546 |
707 |
$79K |
| D2392 |
|
822 |
434 |
$59K |
| D0120 |
|
2,679 |
2,678 |
$54K |
| D0274 |
|
1,645 |
1,645 |
$33K |
| D2393 |
|
671 |
342 |
$29K |
| D0220 |
|
2,193 |
2,186 |
$21K |
| D0150 |
|
879 |
879 |
$18K |
| D0230 |
|
1,866 |
1,866 |
$18K |
| D1120 |
|
110 |
110 |
$3K |
| D0330 |
|
67 |
67 |
$1K |
| D2330 |
|
17 |
13 |
$911.06 |
| D2332 |
|
16 |
12 |
$730.20 |
| D0210 |
|
338 |
338 |
$620.54 |
| D1208 |
|
29 |
29 |
$304.70 |
| D1206 |
|
12 |
12 |
$198.00 |
| D1999 |
|
142 |
142 |
$0.00 |