SPARKLING SMILES PEDIATRIC DENTISTRY, PLLC
NPI: 1881279016
· HATTIESBURG, MS 39401
· 1223P0221X
$978K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
287 |
$7K |
| 2022 |
8,253 |
$323K |
| 2023 |
9,529 |
$397K |
| 2024 |
5,614 |
$250K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
2,771 |
617 |
$340K |
| D1120 |
|
3,886 |
3,516 |
$115K |
| D7140 |
|
1,222 |
518 |
$88K |
| D1206 |
|
3,561 |
3,214 |
$87K |
| D0150 |
|
1,438 |
1,275 |
$57K |
| D2391 |
|
692 |
422 |
$53K |
| D0120 |
|
1,791 |
1,663 |
$49K |
| D0140 |
|
750 |
673 |
$30K |
| D0272 |
|
1,609 |
1,432 |
$30K |
| D9230 |
|
1,227 |
988 |
$27K |
| D0220 |
|
1,674 |
1,443 |
$20K |
| D2392 |
|
189 |
136 |
$20K |
| D0230 |
|
1,865 |
829 |
$17K |
| D9420 |
|
54 |
46 |
$11K |
| D0145 |
|
228 |
212 |
$9K |
| D1351 |
|
286 |
82 |
$7K |
| D0330 |
|
119 |
116 |
$6K |
| D3220 |
|
50 |
24 |
$4K |
| D9310 |
|
75 |
69 |
$3K |
| D9248 |
|
96 |
87 |
$3K |
| D0274 |
|
44 |
43 |
$1K |
| D1208 |
|
56 |
56 |
$1K |