Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SINCERE SMILES PC

NPI: 1881933034 · WILLISTON, ND 58801 · Customized Equipment (DME) · NPI assigned 02/07/2013

$40K
Total Medicaid Paid
1,331
Total Claims
1,175
Beneficiaries
4
Codes Billed
2018-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDORNFELD, KAMILA (OWNER)
NPI Enumeration Date02/07/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128 $3K
2019 149 $4K
2020 12 $377.02
2021 153 $5K
2022 252 $7K
2023 315 $10K
2024 322 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 359 346 $13K
D0120 Periodic oral evaluation - established patient 419 405 $12K
D1206 Topical application of fluoride varnish 375 361 $9K
D1351 Sealant - per tooth 178 63 $6K