Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SMILE COMPANY, PLLC

NPI: 1689047904 · BOISE, ID 83704 · Dental Hygienist · NPI assigned 11/09/2015

$887.70
Total Medicaid Paid
242
Total Claims
210
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialGRANT, SCOTT (PRESIDENT)
NPI Enumeration Date11/09/2015

Related Entities

Other providers sharing the same authorized official: GRANT, SCOTT

ProviderCityStateTotal Paid
RETINA CONSULTANTS OF ORANGE COUNTY, A MEDICAL CORPORATION FULLERTON CA $3.30M
CARING SMILES PLLC BOISE ID $402K
SW GRANT PC MERIDIAN ID $93K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52 $670.51
2019 80 $0.00
2020 98 $217.19
2023 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 39 39 $851.85
D0220 Intraoral - periapical first radiographic image 77 74 $35.85
D0120 Periodic oral evaluation - established patient 31 31 $0.00
D1208 Topical application of fluoride, excluding varnish 41 41 $0.00
D0230 Intraoral - periapical each additional radiographic image 54 25 $0.00