Medicaid Provider Spending

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

THE SMILE MISSION, PLLC

NPI: 1902453756 · MIAMI, FL 33157 · Dental Clinic/Center · NPI assigned 08/26/2019

$5K
Total Medicaid Paid
241
Total Claims
241
Beneficiaries
4
Codes Billed
2021-11
First Month
2022-04
Last Month

Provider Details

Authorized OfficialPFUNDHELLER, DUSTIN (OWNER)
NPI Enumeration Date08/26/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 106 $3K
2022 135 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 75 75 $3K
D1110 Prophylaxis - adult 69 69 $1K
D1120 Prophylaxis - child 28 28 $672.82
D0330 Panoramic radiographic image 69 69 $452.94