SMILE STATION PEDIATRIC DENTISTRY, PLLC
NPI: 1801198437
· EDINBURG, TX 78539
· 1223P0221X
$1.45M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,203 |
$43K |
| 2021 |
9,542 |
$358K |
| 2022 |
10,822 |
$429K |
| 2023 |
10,655 |
$422K |
| 2024 |
5,323 |
$203K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
4,372 |
884 |
$607K |
| D0145 |
|
1,128 |
1,117 |
$158K |
| D1120 |
|
3,577 |
3,536 |
$129K |
| D0120 |
|
4,397 |
4,337 |
$124K |
| D0272 |
|
2,848 |
2,751 |
$60K |
| D1206 |
|
4,069 |
4,027 |
$59K |
| D1351 |
|
2,251 |
753 |
$59K |
| D9248 |
|
443 |
436 |
$51K |
| D0150 |
|
1,282 |
1,260 |
$44K |
| D0274 |
|
1,162 |
1,155 |
$38K |
| D1110 |
|
681 |
674 |
$36K |
| D0220 |
|
1,901 |
1,788 |
$21K |
| D2391 |
|
270 |
174 |
$21K |
| D0330 |
|
313 |
312 |
$10K |
| D0230 |
|
1,147 |
652 |
$9K |
| D9420 |
|
266 |
256 |
$9K |
| D2392 |
|
72 |
57 |
$7K |
| D7140 |
|
103 |
65 |
$6K |
| D9430 |
|
261 |
258 |
$2K |
| D0210 |
|
32 |
32 |
$2K |
| D0140 |
|
96 |
96 |
$2K |
| D9230 |
|
39 |
39 |
$948.85 |
| D1208 |
|
57 |
57 |
$808.50 |
| D0603 |
|
6,778 |
6,694 |
$0.00 |