SOUTH MISSISSIPPI SMILES DENTISTRY LLC
NPI: 1538504824
· PASCAGOULA, MS 39581
· 1223G0001X
$11.58M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40,060 |
$424K |
| 2019 |
59,537 |
$754K |
| 2020 |
44,242 |
$753K |
| 2021 |
69,103 |
$1.88M |
| 2022 |
83,261 |
$2.50M |
| 2023 |
84,322 |
$2.64M |
| 2024 |
93,421 |
$2.62M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
67,238 |
52,873 |
$1.57M |
| D2392 |
|
16,928 |
7,825 |
$1.51M |
| D1351 |
|
52,961 |
8,266 |
$1.28M |
| D1206 |
|
63,130 |
49,274 |
$1.22M |
| D0120 |
|
37,738 |
31,864 |
$879K |
| D0150 |
|
23,728 |
16,974 |
$679K |
| D2930 |
|
4,876 |
1,382 |
$569K |
| D2391 |
|
6,785 |
3,636 |
$460K |
| D7140 |
|
5,489 |
2,605 |
$385K |
| D9230 |
|
15,084 |
11,548 |
$380K |
| D0272 |
|
30,478 |
23,769 |
$374K |
| D0330 |
|
12,966 |
10,254 |
$367K |
| D0274 |
|
20,050 |
15,555 |
$343K |
| D0220 |
|
23,477 |
20,328 |
$261K |
| D0210 |
|
5,250 |
3,804 |
$251K |
| D0350 |
|
8,436 |
8,153 |
$236K |
| D0230 |
|
25,600 |
15,132 |
$217K |
| D0140 |
|
4,272 |
3,314 |
$137K |
| D2393 |
|
1,071 |
772 |
$136K |
| D0145 |
|
4,184 |
3,306 |
$127K |
| D1208 |
|
3,613 |
3,255 |
$55K |
| D9248 |
|
1,225 |
1,008 |
$51K |
| D2332 |
|
291 |
158 |
$31K |
| D1110 |
|
509 |
487 |
$23K |
| D3220 |
|
160 |
95 |
$12K |
| D2331 |
|
137 |
66 |
$11K |
| D2330 |
|
85 |
55 |
$6K |
| D2335 |
|
18 |
12 |
$2K |
| D0603 |
|
37,075 |
31,690 |
$0.00 |
| D0602 |
|
1,075 |
813 |
$0.00 |
| D0601 |
|
17 |
17 |
$0.00 |