Medicaid Provider Spending

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

BEST SMILE DENTAL CARE CORP

NPI: 1710275185 · MIAMI, FL 33179 · Dental Clinic/Center · NPI assigned 07/19/2011

$3K
Total Medicaid Paid
117
Total Claims
104
Beneficiaries
5
Codes Billed
2020-02
First Month
2020-06
Last Month

Provider Details

Authorized OfficialVIDAL, MARIA (PRESIDENT)
NPI Enumeration Date07/19/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 117 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 31 31 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22 13 $758.07
D1110 Prophylaxis - adult 16 15 $473.07
D0210 Intraoral - complete series of radiographic images 31 31 $144.00
D1999 17 14 $49.99