Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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UPPER DARBY
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SMILE TEAM
NPI: 1871267054 · UPPER DARBY, PA 19082 ·
122300000X
$26K
Total Medicaid Paid
1,389
Total Claims
1,315
Beneficiaries
10
Codes Billed
2024-01
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2024
1,389
$26K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
259
246
$8K
D0274
275
262
$7K
D2392
34
32
$2K
D0150
115
111
$2K
D0220
283
269
$2K
D0120
113
101
$2K
D0230
267
251
$2K
D0601
14
14
$130.00
D1330
15
15
$70.00
D1310
14
14
$65.00