Medicaid Provider Spending

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

PERFECT SMILE DENTAL OF BUTLER, LLC

NPI: 1497327258 · BUTLER, PA 16001 · Dental Clinic/Center · NPI assigned 07/12/2021

$4K
Total Medicaid Paid
157
Total Claims
154
Beneficiaries
5
Codes Billed
2024-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROMANO, BECKY (PRACTICE MANAGER)
NPI Enumeration Date07/12/2021

Related Entities

Other providers sharing the same authorized official: ROMANO, BECKY

ProviderCityStateTotal Paid
PERFECT SMILE DENTAL OF BEAVER, LLC MONACA PA $146K
PERFECT SMILE DENTAL OF ERIE, LLC ERIE PA $66K
PERFECT SMILE DENTAL OF CRANBERRY, LLC CRANBERRY TOWNSHIP PA $38K
PERFECT SMILE DENTAL OF WASHINGTON, LLC WASHINGTON PA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 157 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 41 40 $1K
D0120 Periodic oral evaluation - established patient 60 59 $1K
D0274 Bitewings - four radiographic images 29 29 $718.92
D1110 Prophylaxis - adult 13 13 $413.91
D0220 Intraoral - periapical first radiographic image 14 13 $101.11