Medicaid Provider Spending

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

SMILE CENTER USA, LLC

NPI: 1760855472 · MIDDLEBURG HEIGHTS, OH 44130 · Dentist · NPI assigned 11/03/2015

$37K
Total Medicaid Paid
1,914
Total Claims
1,482
Beneficiaries
8
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHARMA, SHYAM (PRESIDENT)
NPI Enumeration Date11/03/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 400 $5K
2019 288 $4K
2020 162 $2K
2021 79 $380.00
2022 417 $5K
2023 320 $5K
2024 248 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 375 346 $16K
D0330 Panoramic radiographic image 91 82 $7K
D0150 Comprehensive oral evaluation - new or established patient 140 122 $4K
D0274 Bitewings - four radiographic images 200 188 $4K
D0230 Intraoral - periapical each additional radiographic image 619 286 $3K
D0220 Intraoral - periapical first radiographic image 403 377 $2K
D0120 Periodic oral evaluation - established patient 72 67 $1K
D1206 Topical application of fluoride varnish 14 14 $210.00