HEALTHY SMILES FOR KIDS OF ORANGE COUNTY
NPI: 1720292949
· GARDEN GROVE, CA 92840
· 1223P0221X
$18.93M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
92,875 |
$1.57M |
| 2019 |
130,559 |
$2.51M |
| 2020 |
104,026 |
$2.09M |
| 2021 |
134,792 |
$3.19M |
| 2022 |
133,770 |
$3.86M |
| 2023 |
106,160 |
$3.13M |
| 2024 |
85,501 |
$2.58M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
59,170 |
59,088 |
$3.52M |
| D1120 |
|
88,283 |
88,151 |
$3.50M |
| D1206 |
|
86,604 |
86,464 |
$1.29M |
| D0150 |
|
19,661 |
19,649 |
$1.26M |
| D1310 |
|
28,001 |
27,921 |
$1.26M |
| D9223 |
|
1,666 |
1,073 |
$1.13M |
| D0230 |
|
214,985 |
64,915 |
$868K |
| D9993 |
|
12,067 |
12,059 |
$762K |
| D2392 |
|
9,796 |
6,829 |
$655K |
| D1351 |
|
20,177 |
7,972 |
$526K |
| D0272 |
|
42,933 |
42,884 |
$496K |
| D2930 |
|
4,105 |
1,384 |
$485K |
| D9230 |
|
11,614 |
11,415 |
$456K |
| D0603 |
|
27,463 |
27,388 |
$403K |
| D9221 |
|
796 |
602 |
$387K |
| D0145 |
|
4,609 |
4,604 |
$301K |
| D7140 |
|
5,004 |
1,920 |
$285K |
| D0274 |
|
12,914 |
12,907 |
$273K |
| D2391 |
|
4,399 |
3,313 |
$238K |
| D0350 |
|
14,278 |
8,821 |
$140K |
| D9610 |
|
1,827 |
1,652 |
$138K |
| D9222 |
|
1,072 |
1,069 |
$131K |
| D9220 |
|
603 |
602 |
$130K |
| D9430 |
|
4,076 |
4,045 |
$129K |
| D0220 |
|
5,230 |
5,202 |
$61K |
| D9920 |
|
271 |
271 |
$36K |
| D0330 |
|
773 |
772 |
$23K |
| D1354 |
|
1,845 |
668 |
$22K |
| D2940 |
|
142 |
59 |
$7K |
| D2330 |
|
73 |
37 |
$6K |
| D9420 |
|
24 |
24 |
$3K |
| D0210 |
|
48 |
48 |
$2K |
| D2393 |
|
27 |
26 |
$2K |
| D9995 |
|
503 |
498 |
$1K |
| D9999 |
|
117 |
117 |
$320.64 |
| D0270 |
|
39 |
39 |
$195.00 |
| D0602 |
|
12 |
12 |
$180.00 |
| D0999 |
|
17,885 |
10,703 |
$0.02 |
| D1330 |
|
84,591 |
84,401 |
$0.00 |