Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › FORT MYERS › HAPPY SMILES OF PORT SAINT LUCIE

HAPPY SMILES OF PORT SAINT LUCIE

NPI: 1831660026 · FORT MYERS, FL 33901 · General Practice Dentistry · NPI assigned 12/16/2018

$8K
Total Medicaid Paid
334
Total Claims
323
Beneficiaries
6
Codes Billed
2020-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialZADOV, MARIANNA (OWNER)
Parent OrganizationHAPPY SMILES OF PORT SAINT LUCIE
NPI Enumeration Date12/16/2018

Related Entities

Other providers sharing the same authorized official: ZADOV, MARIANNA

ProviderCityStateTotal Paid
MARIANNA ZADOV, P.A WEST PALM BEACH FL $76K
MARIANNA ZADOV P.A. NAPLES FL $39K
MARIANNA ZADOV, P.A BOYTON BEACH FL $36K
MARIANNA ZADOV, P.A CORAL SPRINGS FL $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 188 $4K
2021 146 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 129 129 $6K
D8660 16 16 $2K
D0120 Periodic oral evaluation - established patient 12 12 $383.00
D0150 Comprehensive oral evaluation - new or established patient 136 136 $128.86
D0230 Intraoral - periapical each additional radiographic image 25 14 $0.00
D0220 Intraoral - periapical first radiographic image 16 16 $0.00