Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › JENKINTOWN › SEA OF SMILES 4 LLC

SEA OF SMILES 4 LLC

NPI: 1598309106 · JENKINTOWN, PA 19046 · 1223P0221X

$23K
Total Medicaid Paid
1,610
Total Claims
1,602
Beneficiaries
11
Codes Billed
2024-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,610 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 257 256 $7K
D1206 258 257 $5K
D0120 195 195 $4K
D0603 252 251 $2K
D1330 258 257 $1K
D0272 55 55 $1K
D9230 15 12 $510.88
D0150 18 18 $427.08
D0220 30 30 $293.77
D0230 13 13 $124.93
D1310 259 258 $0.00