SMILIE'S PEDIATRIC DENTISTRY
NPI: 1821732850
· GRAND RAPIDS, MI 49508
· 1223P0221X
$949K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
3,313 |
$125K |
| 2023 |
9,214 |
$392K |
| 2024 |
9,538 |
$432K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
1,165 |
316 |
$223K |
| D1351 |
|
4,159 |
875 |
$137K |
| D1120 |
|
3,022 |
3,022 |
$127K |
| D0120 |
|
3,345 |
3,345 |
$109K |
| D1206 |
|
3,824 |
3,824 |
$105K |
| D0272 |
|
1,717 |
1,717 |
$42K |
| D1354 |
|
1,316 |
399 |
$36K |
| D1110 |
|
720 |
720 |
$34K |
| D7140 |
|
400 |
193 |
$33K |
| D2391 |
|
333 |
234 |
$31K |
| D2392 |
|
171 |
133 |
$21K |
| D9420 |
|
101 |
101 |
$16K |
| D0240 |
|
682 |
357 |
$13K |
| D0230 |
|
475 |
172 |
$6K |
| D0220 |
|
353 |
351 |
$6K |
| D0150 |
|
103 |
103 |
$6K |
| D0330 |
|
28 |
28 |
$2K |
| D0145 |
|
26 |
26 |
$1K |
| D9248 |
|
62 |
57 |
$960.00 |
| D9230 |
|
63 |
61 |
$0.00 |