Medicaid Provider Spending

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

SMILES FOR YOU, PLLC

NPI: 1700085669 · GRAPEVINE, TX 76051 · General Practice Dentistry · NPI assigned 07/12/2007

$23K
Total Medicaid Paid
1,760
Total Claims
1,668
Beneficiaries
10
Codes Billed
2020-11
First Month
2024-02
Last Month

Provider Details

Authorized OfficialFERNANDES-MORAIS, MARIA (OWNER)
NPI Enumeration Date07/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 204 $3K
2021 629 $8K
2022 465 $7K
2023 359 $4K
2024 103 $914.31

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 364 352 $10K
D1208 Topical application of fluoride, excluding varnish 401 392 $5K
D1120 Prophylaxis - child 139 134 $4K
D0274 Bitewings - four radiographic images 41 39 $1K
D0220 Intraoral - periapical first radiographic image 89 86 $961.42
D0230 Intraoral - periapical each additional radiographic image 106 69 $852.44
D0272 Bitewings - two radiographic images 16 15 $327.32
D1999 240 230 $0.00
D0601 52 48 $0.00
D0603 312 303 $0.00