Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› SIMPLY DENTAL OF LONDONDERRY MILES OF SMILES
SIMPLY DENTAL OF LONDONDERRY MILES OF SMILES
NPI: 1881305928 · LONDONDERRY, NH 03053 ·
261QD0000X
$104K
Total Medicaid Paid
3,113
Total Claims
2,972
Beneficiaries
10
Codes Billed
2023-03
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
1,706
$53K
2024
1,407
$51K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
683
656
$25K
D0120
732
720
$25K
D1206
718
699
$15K
D1110
257
250
$14K
D0274
259
255
$9K
D1208
278
270
$5K
D2392
26
14
$3K
D0150
50
47
$3K
D0330
49
46
$2K
D1351
61
15
$2K