Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › OMAHA › SMITH & HASCALL FAMILY DENTISTRY LLC

SMITH & HASCALL FAMILY DENTISTRY LLC

NPI: 1629690318 · OMAHA, NE 68135 · Dental Clinic/Center · NPI assigned 05/15/2020

$25K
Total Medicaid Paid
1,004
Total Claims
1,003
Beneficiaries
5
Codes Billed
2020-09
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSMITH, TYLER (OWNER)
NPI Enumeration Date05/15/2020

Related Entities

Other providers sharing the same authorized official: SMITH, TYLER

ProviderCityStateTotal Paid
HERITAGE CHRISTIAN COUNSELING MINISTRIES, INC. ASHLAND OH $1.33M
TYLER L SMITH FAMILY DENTISTRY OMAHA NE $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 134 $3K
2021 475 $11K
2022 383 $10K
2023 12 $320.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 401 400 $10K
D0120 Periodic oral evaluation - established patient 335 335 $8K
D1110 Prophylaxis - adult 132 132 $4K
D0274 Bitewings - four radiographic images 93 93 $2K
D1120 Prophylaxis - child 43 43 $1K