DIVERSIFIED MOBILE SMILES
NPI: 1902007826
· ALAMEDA, CA 94501
· 124Q00000X
$1.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,403 |
$260K |
| 2019 |
6,616 |
$327K |
| 2020 |
3,606 |
$197K |
| 2021 |
4,319 |
$238K |
| 2022 |
3,875 |
$222K |
| 2023 |
3,673 |
$214K |
| 2024 |
3,263 |
$182K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
9,840 |
9,840 |
$847K |
| D9410 |
|
15,114 |
15,022 |
$421K |
| D4355 |
|
3,110 |
3,109 |
$313K |
| D1206 |
|
3,679 |
3,679 |
$58K |
| D4910 |
|
12 |
12 |
$1K |