MY SMILES PEDIATRIC DENTISTRY OF QUEENS PC
NPI: 1548924277
· JAMAICA, NY 11432
· 1223P0221X
$368K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
7,932 |
$266K |
| 2023 |
2,223 |
$73K |
| 2024 |
1,272 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
636 |
569 |
$75K |
| D1120 |
|
1,862 |
1,862 |
$56K |
| D1351 |
|
365 |
322 |
$32K |
| D0150 |
|
1,398 |
1,398 |
$29K |
| D2391 |
|
367 |
356 |
$27K |
| D1206 |
|
1,206 |
1,181 |
$26K |
| D0240 |
|
1,163 |
1,162 |
$26K |
| D0272 |
|
1,373 |
1,373 |
$16K |
| D2930 |
|
154 |
142 |
$15K |
| D7140 |
|
340 |
315 |
$15K |
| D0120 |
|
637 |
637 |
$13K |
| D1208 |
|
914 |
914 |
$10K |
| D1354 |
|
118 |
101 |
$8K |
| D2393 |
|
69 |
66 |
$5K |
| D3220 |
|
73 |
67 |
$5K |
| D1110 |
|
94 |
94 |
$4K |
| D0220 |
|
282 |
281 |
$3K |
| D0140 |
|
188 |
184 |
$2K |
| D0210 |
|
108 |
107 |
$858.02 |
| D0230 |
|
62 |
62 |
$315.52 |
| D9230 |
|
18 |
16 |
$0.00 |