SEA OF SMILES PEDIATRIC DENTISTRY
NPI: 1689028821
· FRISCO, TX 75034
· 1223P0221X
$261K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
805 |
$15K |
| 2021 |
6,191 |
$131K |
| 2022 |
4,651 |
$82K |
| 2023 |
2,042 |
$27K |
| 2024 |
420 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
1,750 |
315 |
$47K |
| D0145 |
|
299 |
293 |
$41K |
| D1120 |
|
1,141 |
1,096 |
$40K |
| D0120 |
|
996 |
956 |
$27K |
| D0230 |
|
2,351 |
1,470 |
$24K |
| D0272 |
|
1,014 |
973 |
$21K |
| D0220 |
|
1,698 |
1,614 |
$18K |
| D1208 |
|
1,139 |
1,098 |
$16K |
| D2392 |
|
126 |
41 |
$12K |
| D0150 |
|
183 |
180 |
$6K |
| D9230 |
|
99 |
94 |
$2K |
| D0140 |
|
142 |
132 |
$2K |
| D2391 |
|
24 |
12 |
$2K |
| D7140 |
|
21 |
13 |
$1K |
| D0330 |
|
13 |
13 |
$478.98 |
| D1330 |
|
498 |
493 |
$60.03 |
| D0603 |
|
1,939 |
1,904 |
$0.00 |
| D1999 |
|
676 |
600 |
$0.00 |