Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › TAMPA › LHA SMILES DESIGN, INC

LHA SMILES DESIGN, INC

NPI: 1669137386 · TAMPA, FL 33634 · Dental Clinic/Center · NPI assigned 11/08/2021

$2K
Total Medicaid Paid
146
Total Claims
144
Beneficiaries
5
Codes Billed
2022-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialHERNANDEZ, LUIS (DENTIST)
NPI Enumeration Date11/08/2021

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Other providers sharing the same authorized official: HERNANDEZ, LUIS

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Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 146 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 43 42 $1K
D1110 Prophylaxis - adult 31 31 $464.75
D0150 Comprehensive oral evaluation - new or established patient 33 33 $405.00
D0220 Intraoral - periapical first radiographic image 27 26 $210.66
D0230 Intraoral - periapical each additional radiographic image 12 12 $0.00