SMILE WORKSHOP FORT WORTH, PLLC
NPI: 1700295557
· FORT WORTH, TX 76137
· 122300000X
$714K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2020 |
760 |
$16K |
| 2021 |
8,213 |
$183K |
| 2022 |
11,311 |
$227K |
| 2023 |
10,833 |
$209K |
| 2024 |
5,746 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
3,584 |
3,518 |
$96K |
| D1120 |
|
2,680 |
2,624 |
$91K |
| D2392 |
|
825 |
393 |
$78K |
| D1351 |
|
2,513 |
461 |
$65K |
| D1110 |
|
1,202 |
1,170 |
$60K |
| D1208 |
|
4,104 |
4,014 |
$56K |
| D0230 |
|
5,286 |
3,563 |
$56K |
| D0274 |
|
1,808 |
1,770 |
$55K |
| D0220 |
|
3,987 |
3,885 |
$46K |
| D0350 |
|
2,686 |
2,499 |
$26K |
| D0210 |
|
289 |
287 |
$19K |
| D0272 |
|
658 |
652 |
$15K |
| D0150 |
|
445 |
432 |
$14K |
| D0145 |
|
104 |
103 |
$14K |
| D9230 |
|
506 |
475 |
$13K |
| D2393 |
|
47 |
24 |
$4K |
| D9248 |
|
25 |
24 |
$3K |
| D2391 |
|
28 |
17 |
$2K |
| D0140 |
|
56 |
55 |
$913.03 |
| D1330 |
|
747 |
740 |
$428.75 |
| D0603 |
|
5,296 |
5,125 |
$0.00 |