Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › SALEM › SMILEWRIGHT FAMILY DENTAL, LLC

SMILEWRIGHT FAMILY DENTAL, LLC

NPI: 1528212834 · SALEM, OH 44460 · General Practice Dentistry · NPI assigned 11/13/2008

$2K
Total Medicaid Paid
114
Total Claims
108
Beneficiaries
2
Codes Billed
2018-03
First Month
2024-02
Last Month

Provider Details

Authorized OfficialIADEROSA, GREGORY (OWNER)
NPI Enumeration Date11/13/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $215.16
2021 44 $967.82
2022 34 $537.90
2023 12 $197.23
2024 12 $422.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 88 84 $2K
D1110 Prophylaxis - adult 26 24 $716.80