SMILE MAGIC OF LEWISVILLE, PLLC
NPI: 1750601548
· LEWISVILLE, TX 75067
· 122300000X
$7.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
483 |
$6K |
| 2019 |
672 |
$9K |
| 2020 |
9,880 |
$290K |
| 2021 |
62,601 |
$1.91M |
| 2022 |
62,403 |
$1.88M |
| 2023 |
54,781 |
$1.85M |
| 2024 |
38,553 |
$1.34M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
17,988 |
5,044 |
$1.71M |
| D1351 |
|
27,967 |
6,196 |
$689K |
| D0145 |
|
4,753 |
4,666 |
$650K |
| D0120 |
|
20,487 |
19,968 |
$563K |
| D2391 |
|
7,537 |
2,692 |
$556K |
| D1120 |
|
13,984 |
13,638 |
$487K |
| D2930 |
|
3,445 |
951 |
$467K |
| D1110 |
|
7,309 |
7,129 |
$376K |
| D0274 |
|
11,044 |
10,784 |
$337K |
| D1208 |
|
21,894 |
21,355 |
$306K |
| D0230 |
|
26,107 |
18,093 |
$278K |
| D0220 |
|
19,934 |
19,285 |
$233K |
| D0272 |
|
7,833 |
7,630 |
$155K |
| D9248 |
|
911 |
841 |
$98K |
| D9230 |
|
2,914 |
2,824 |
$75K |
| D0210 |
|
1,139 |
1,139 |
$75K |
| D0330 |
|
3,156 |
3,067 |
$73K |
| D3220 |
|
677 |
306 |
$51K |
| D0150 |
|
1,391 |
1,350 |
$46K |
| D2335 |
|
184 |
63 |
$28K |
| D0140 |
|
869 |
837 |
$15K |
| D7140 |
|
290 |
165 |
$14K |
| D2332 |
|
33 |
13 |
$4K |
| D2393 |
|
41 |
25 |
$4K |
| D2330 |
|
19 |
12 |
$1K |
| D9610 |
|
12 |
12 |
$215.04 |
| D0160 |
|
12 |
12 |
$164.45 |
| D0270 |
|
13 |
13 |
$53.90 |
| D0603 |
|
27,430 |
26,852 |
$0.01 |