Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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AFFORDABLE SMILES OF METAIRIE, LLC

NPI: 1538735931 · METAIRIE, LA 70006 · General Practice Dentistry · NPI assigned 05/27/2021

$131K
Total Medicaid Paid
5,647
Total Claims
1,982
Beneficiaries
6
Codes Billed
2022-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCOATS, SAMANTHA (INSURANCE CREDENTIALING MANAGER)
NPI Enumeration Date05/27/2021

Related Entities

Other providers sharing the same authorized official: COATS, SAMANTHA

ProviderCityStateTotal Paid
AFFORDABLE SMILES OF HAMMOND, LLC HAMMOND LA $213K
AFFORDABLE SMILES OF GRETNA, LLC GRETNA LA $208K
AFFORDABLE SMILES OF BATON ROUGE, LLC BATON ROUGE LA $191K
EXCEPTIONAL DENTAL OF WATSON, LLC DENHAM SPRINGS LA $81K
EXCEPTIONAL DENTAL OF UPTOWN, LLC NEW ORLEANS LA $18K
AFFORDABLE SMILES OF MANDEVILLE, LLC MANDEVILLE LA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,435 $18K
2023 3,250 $87K
2024 962 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 2,508 883 $47K
D0210 Intraoral - complete series of radiographic images 2,051 711 $45K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 353 90 $16K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 283 81 $11K
D1110 Prophylaxis - adult 345 189 $10K
D2391 Resin-based composite - one surface, posterior, primary or permanent 107 28 $3K