GLOBAL SMILES DENTAL 5 LLC
NPI: 1871061309
· INDIANAPOLIS, IN 46224
· 122300000X
$1.49M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
696 |
$37K |
| 2020 |
2,282 |
$127K |
| 2021 |
4,653 |
$251K |
| 2022 |
7,613 |
$412K |
| 2023 |
7,373 |
$378K |
| 2024 |
5,146 |
$289K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2392 |
|
5,290 |
1,967 |
$401K |
| D0210 |
|
2,784 |
2,364 |
$159K |
| D7210 |
|
939 |
433 |
$154K |
| D2391 |
|
2,425 |
1,043 |
$146K |
| D2393 |
|
1,528 |
803 |
$137K |
| D0150 |
|
2,917 |
2,612 |
$111K |
| D1110 |
|
2,224 |
2,030 |
$110K |
| D0120 |
|
1,912 |
1,779 |
$46K |
| D1120 |
|
1,385 |
1,281 |
$46K |
| D1351 |
|
1,403 |
258 |
$36K |
| D1206 |
|
1,570 |
1,447 |
$33K |
| D0274 |
|
999 |
916 |
$32K |
| D0330 |
|
604 |
538 |
$27K |
| D0140 |
|
631 |
574 |
$21K |
| D2394 |
|
96 |
54 |
$11K |
| D0220 |
|
716 |
561 |
$7K |
| D7250 |
|
36 |
16 |
$5K |
| D4342 |
|
73 |
16 |
$3K |
| D1208 |
|
90 |
89 |
$2K |
| D1352 |
|
39 |
12 |
$2K |
| D4346 |
|
16 |
13 |
$2K |
| D7111 |
|
17 |
12 |
$1K |
| D9230 |
|
21 |
15 |
$649.95 |
| D0145 |
|
16 |
13 |
$213.00 |
| D0230 |
|
32 |
18 |
$90.00 |