HEALTHY CHILDSMILES, LLC
NPI: 1679959431
· MULLINS, SC 29574
· Dental Clinic/Center
· NPI assigned 08/04/2015
$464K
Total Medicaid Paid
Provider Details
| Authorized Official | PARSLEY, CHANDA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 08/04/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,968 |
$115K |
| 2019 |
4,693 |
$134K |
| 2020 |
132 |
$4K |
| 2022 |
4,091 |
$117K |
| 2023 |
2,786 |
$79K |
| 2024 |
481 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
5,671 |
1,380 |
$170K |
| D1120 |
Prophylaxis - child |
3,553 |
3,553 |
$124K |
| D1206 |
Topical application of fluoride varnish |
5,247 |
5,247 |
$85K |
| D1110 |
Prophylaxis - adult |
1,680 |
1,680 |
$85K |