HEALTHY SMILES, INC.
NPI: 1861720245
· CLAREMONT, MN 55924
· Voluntary or Charitable Agency
· NPI assigned 11/24/2009
$154K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,257 |
$5K |
| 2019 |
395 |
$10K |
| 2020 |
334 |
$9K |
| 2021 |
814 |
$22K |
| 2022 |
1,056 |
$36K |
| 2023 |
1,077 |
$37K |
| 2024 |
1,006 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,293 |
2,282 |
$70K |
| D1206 |
Topical application of fluoride varnish |
2,366 |
2,353 |
$53K |
| D1330 |
|
1,280 |
1,269 |
$30K |