Medicaid Provider Spending

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

NPI: 1649676149 · PARKER, CO 80134 · Dental Hygienist · NPI assigned 11/10/2014

$2K
Total Medicaid Paid
77
Total Claims
77
Beneficiaries
4
Codes Billed
2021-03
First Month
2022-08
Last Month

Provider Details

Authorized OfficialMILLER, ELIZABETH (OWNER/OPERATOR)
NPI Enumeration Date11/10/2014

Related Entities

Other providers sharing the same authorized official: MILLER, ELIZABETH

ProviderCityStateTotal Paid
ST PETERS COMMUNITY HOSPITAL HELENA MT $2.61M
PIC WISCONSIN SC BROOKFIELD WI $891K
BREATHITT COUNTY HEALTH DEPARTMENT JACKSON KY $818K
HEAR TO YOU VANCOUVER WA $363K
MILLER COUNSELING LLC WILMINGTON OH $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $606.24
2022 63 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 41 41 $2K
D0230 Intraoral - periapical each additional radiographic image 12 12 $299.04
D1206 Topical application of fluoride varnish 12 12 $217.69
D0220 Intraoral - periapical first radiographic image 12 12 $153.52