AMERISMILES DENTAL OF GRAND PRAIRE PLLC
NPI: 1902192289
· GRAND PRAIRIE, TX 75050
· 122300000X
$327K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
278 |
$5K |
| 2021 |
4,415 |
$90K |
| 2022 |
4,675 |
$96K |
| 2023 |
3,941 |
$85K |
| 2024 |
2,209 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
3,151 |
543 |
$78K |
| D2392 |
|
446 |
170 |
$42K |
| D1120 |
|
1,139 |
1,096 |
$39K |
| D0120 |
|
1,410 |
1,344 |
$38K |
| D0230 |
|
2,978 |
1,462 |
$31K |
| D0145 |
|
231 |
212 |
$29K |
| D1208 |
|
1,583 |
1,514 |
$22K |
| D0220 |
|
1,602 |
1,512 |
$18K |
| D0274 |
|
517 |
482 |
$16K |
| D1110 |
|
168 |
154 |
$8K |
| D0272 |
|
189 |
187 |
$4K |
| D0150 |
|
39 |
38 |
$1K |
| D0603 |
|
874 |
814 |
$0.00 |
| D0602 |
|
1,191 |
1,135 |
$0.00 |