Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › PANAMA CITY BEACH › GREAT FLORIDA SMILES & ORTHODONTICS PCB, PLLC

GREAT FLORIDA SMILES & ORTHODONTICS PCB, PLLC

NPI: 1750068482 · PANAMA CITY BEACH, FL 32408 · Dentist · NPI assigned 07/04/2023

$9K
Total Medicaid Paid
81
Total Claims
81
Beneficiaries
3
Codes Billed
2024-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialO'DONNELL, MICHAEL (OWNER)
NPI Enumeration Date07/04/2023

Related Entities

Other providers sharing the same authorized official: O'DONNELL, MICHAEL

ProviderCityStateTotal Paid
PECONIC BAY PRIMARY MEDICAL CARE MATTITUCK NY $3.39M
MICHAEL T. O'DONNELL, D.M.D, P.A. SANTA ROSA BEACH FL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 81 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 26 26 $4K
D0150 Comprehensive oral evaluation - new or established patient 27 27 $4K
D1208 Topical application of fluoride, excluding varnish 28 28 $1K