DR. CHRIS' SMALL SMILES PEDIATRIC DENTISTRY
NPI: 1942543210
· STONY BROOK, NY 11790
· 1223P0221X
$337K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
49 |
$1K |
| 2019 |
554 |
$13K |
| 2020 |
1,569 |
$33K |
| 2021 |
2,282 |
$55K |
| 2022 |
2,877 |
$82K |
| 2023 |
2,533 |
$67K |
| 2024 |
3,272 |
$86K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,771 |
2,771 |
$117K |
| D0120 |
|
2,873 |
2,873 |
$82K |
| D1206 |
|
1,138 |
1,138 |
$34K |
| D0272 |
|
1,475 |
1,475 |
$25K |
| D0220 |
|
1,629 |
1,624 |
$22K |
| D1208 |
|
1,360 |
1,360 |
$19K |
| D1351 |
|
146 |
103 |
$14K |
| D0230 |
|
1,395 |
1,395 |
$10K |
| D2392 |
|
43 |
40 |
$7K |
| D1110 |
|
78 |
78 |
$5K |
| D0150 |
|
83 |
83 |
$2K |
| D0274 |
|
24 |
24 |
$696.00 |
| D9230 |
|
42 |
38 |
$480.00 |
| D0330 |
|
12 |
12 |
$480.00 |
| D1999 |
|
67 |
67 |
$0.00 |