Medicaid Provider Spending

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

SOMETHING TO SMILE ABOUT INC

NPI: 1841905148 · SAN FERNANDO, CA 91340 · Dental Clinic/Center · NPI assigned 01/20/2023

$24K
Total Medicaid Paid
488
Total Claims
457
Beneficiaries
7
Codes Billed
2023-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHERMOSILLO, ELIZABETH (OWNER)
NPI Enumeration Date01/20/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 118 $5K
2024 370 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9920 96 92 $13K
D1120 Prophylaxis - child 92 91 $5K
D9410 125 121 $3K
D1206 Topical application of fluoride varnish 83 83 $2K
D1351 Sealant - per tooth 46 24 $770.00
D1208 Topical application of fluoride, excluding varnish 34 34 $588.00
D1310 12 12 $493.00