Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SPECIAL SMILES LTD

NPI: 1639239296 · PHILADELPHIA, PA 19125 · 1223G0001X

$8.54M

Total Medicaid Paid

4,217

Total Claims

4,182

Beneficiaries

9

Codes Billed

2018-01

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	878	$1.94M
2019	876	$2.15M
2020	488	$1.19M
2021	1,305	$1.60M
2024	670	$1.67M

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D9999		3,425	3,423	$8.42M
D9920		190	188	$115K
D0120		195	194	$75.00
D1208		179	178	$40.00
D1110		134	133	$0.00
D0210		29	29	$0.00
D9223		41	13	$0.00
D9222		12	12	$0.00
D4355		12	12	$0.00