S&W HEALTHY SMILES CORP.
NPI: 1518636935
· JUNCOS, PR 00777
· 261QD0000X
$246K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,165 |
$22K |
| 2023 |
4,232 |
$72K |
| 2024 |
8,981 |
$152K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
4,594 |
3,172 |
$65K |
| D1110 |
|
1,469 |
1,036 |
$46K |
| D0120 |
|
1,862 |
1,254 |
$29K |
| D1120 |
|
1,417 |
949 |
$28K |
| D1208 |
|
1,785 |
1,209 |
$25K |
| D0272 |
|
1,133 |
817 |
$17K |
| D0150 |
|
661 |
524 |
$15K |
| D0330 |
|
343 |
301 |
$11K |
| D0230 |
|
686 |
432 |
$6K |
| D0220 |
|
390 |
260 |
$3K |
| D0140 |
|
23 |
12 |
$480.58 |
| D1330 |
|
15 |
14 |
$75.00 |