CHILDREN'S SMILE CENTER
NPI: 1629403027
· AURORA, MO
$821.89
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
62 |
$821.89 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
|
37 |
37 |
$458.49 |
| D1120 |
|
13 |
13 |
$259.56 |
| D0220 |
|
12 |
12 |
$103.84 |