GREAT SMILES DENTAL & ORTHODONTIC
NPI: 1891904298
· CARROLLTON, TX 75006
· 1223G0001X
$501K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
578 |
$11K |
| 2021 |
4,686 |
$100K |
| 2022 |
4,620 |
$104K |
| 2023 |
6,090 |
$189K |
| 2024 |
3,670 |
$97K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,441 |
587 |
$147K |
| D0120 |
|
2,143 |
2,138 |
$62K |
| D1110 |
|
971 |
970 |
$53K |
| D0230 |
|
4,594 |
2,302 |
$53K |
| D1120 |
|
1,256 |
1,253 |
$46K |
| D1208 |
|
2,362 |
2,358 |
$35K |
| D0274 |
|
940 |
938 |
$32K |
| D0220 |
|
2,359 |
2,346 |
$29K |
| D0272 |
|
807 |
804 |
$19K |
| D2391 |
|
177 |
104 |
$14K |
| D0145 |
|
56 |
56 |
$8K |
| D0210 |
|
49 |
49 |
$3K |
| D0150 |
|
13 |
13 |
$459.16 |
| D0603 |
|
2,463 |
2,454 |
$0.00 |
| D0601 |
|
13 |
13 |
$0.00 |