SMILE SHOPPE FAYETTEVILLE JEFFREY D. RHODES DDS MS PLLC
NPI: 1508334400
· FAYETTEVILLE, AR 72704
· 1223P0221X
$828K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
51 |
$876.50 |
| 2020 |
1,979 |
$42K |
| 2021 |
3,631 |
$81K |
| 2022 |
5,271 |
$133K |
| 2023 |
8,372 |
$239K |
| 2024 |
11,446 |
$332K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
4,529 |
4,385 |
$111K |
| D2930 |
|
911 |
253 |
$111K |
| D1120 |
|
3,237 |
3,129 |
$106K |
| D1206 |
|
4,579 |
4,448 |
$83K |
| D0272 |
|
3,021 |
2,950 |
$69K |
| D0240 |
|
2,781 |
1,385 |
$65K |
| D1110 |
|
1,226 |
1,206 |
$55K |
| D2150 |
|
588 |
260 |
$43K |
| D2392 |
|
608 |
284 |
$41K |
| D9230 |
|
1,518 |
1,424 |
$36K |
| D9248 |
|
247 |
231 |
$20K |
| D0603 |
|
4,740 |
4,584 |
$18K |
| D1351 |
|
631 |
239 |
$15K |
| D0330 |
|
280 |
263 |
$14K |
| D0220 |
|
764 |
735 |
$12K |
| D0230 |
|
615 |
563 |
$8K |
| D2393 |
|
93 |
56 |
$8K |
| D0140 |
|
130 |
126 |
$4K |
| D0150 |
|
104 |
104 |
$3K |
| D7140 |
|
43 |
26 |
$2K |
| D3220 |
|
20 |
13 |
$2K |
| D2391 |
|
20 |
15 |
$1K |
| D0274 |
|
34 |
34 |
$765.70 |
| D9215 |
|
31 |
31 |
$0.00 |