SUPERB SMILES DENTAL CARE LLC
NPI: 1942606959
· RUSHVILLE, IN 46173
· 122300000X
$1.14M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,738 |
$49K |
| 2019 |
7,612 |
$305K |
| 2020 |
6,020 |
$228K |
| 2021 |
5,935 |
$219K |
| 2022 |
4,312 |
$140K |
| 2023 |
3,538 |
$115K |
| 2024 |
2,276 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
5,099 |
4,766 |
$216K |
| D0120 |
|
7,584 |
7,087 |
$151K |
| D2150 |
|
1,843 |
1,114 |
$115K |
| D7140 |
|
1,498 |
791 |
$102K |
| D0330 |
|
1,637 |
1,522 |
$86K |
| D0274 |
|
2,818 |
2,629 |
$85K |
| D1120 |
|
2,733 |
2,571 |
$71K |
| D0140 |
|
2,019 |
1,842 |
$62K |
| D1206 |
|
2,941 |
2,731 |
$57K |
| D2140 |
|
1,013 |
666 |
$47K |
| D1208 |
|
1,965 |
1,842 |
$32K |
| D0150 |
|
979 |
897 |
$28K |
| D0272 |
|
1,452 |
1,375 |
$27K |
| D9230 |
|
918 |
753 |
$18K |
| D0210 |
|
520 |
475 |
$12K |
| D2160 |
|
140 |
103 |
$11K |
| D0220 |
|
951 |
856 |
$9K |
| D2392 |
|
60 |
43 |
$5K |
| D1351 |
|
223 |
42 |
$2K |
| D2391 |
|
24 |
15 |
$2K |
| D0230 |
|
14 |
13 |
$161.00 |