Medicaid Provider Spending

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

CRYSTAL BRIGHT SMILE INC

NPI: 1790371409 · TUJUNGA, CA 91042 · 1223G0001X

$38K

Total Medicaid Paid

1,249

Total Claims

863

Beneficiaries

13

Codes Billed

2024-06

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	1,249	$38K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		192	192	$13K
D2392		86	38	$6K
D1110		56	56	$5K
D1120		115	115	$5K
D0210		70	70	$3K
D1208		180	180	$3K
D1351		54	14	$2K
D0230		382	84	$2K
D0272		36	36	$432.00
D0220		19	19	$228.00
D1320		12	12	$202.50
D1310		30	30	$0.00
D0603		17	17	$0.00