Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › SCARSDALE › SURE SMILE, LLC

SURE SMILE, LLC

NPI: 1669704813 · SCARSDALE, NY 10583 · 122300000X

$102K
Total Medicaid Paid
3,957
Total Claims
3,837
Beneficiaries
7
Codes Billed
2018-05
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 149 $5K
2019 407 $11K
2020 642 $17K
2021 988 $25K
2022 1,117 $26K
2023 654 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 1,104 1,100 $48K
D0274 1,257 1,254 $27K
D0120 715 712 $15K
D0140 585 477 $6K
D0150 132 132 $3K
D0210 151 149 $3K
D1208 13 13 $141.70