Medicaid Provider Spending

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

NATURAL SMILES, PLLC

NPI: 1528722071 · ALCOA, TN 37701 · General Practice Dentistry · NPI assigned 10/29/2021

$2K
Total Medicaid Paid
72
Total Claims
72
Beneficiaries
3
Codes Billed
2022-05
First Month
2022-05
Last Month

Provider Details

Authorized OfficialEVANS, MARK (OWNER)
NPI Enumeration Date10/29/2021

Related Entities

Other providers sharing the same authorized official: EVANS, MARK

ProviderCityStateTotal Paid
EVANS DENTAL PA BURLEY ID $21K
REILLY EVANS ASSOCIATES, PC LONGMEADOW MA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 72 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 35 35 $854.00
D1110 Prophylaxis - adult 14 14 $614.32
D1206 Topical application of fluoride varnish 23 23 $471.50