SMILES ON BROADWAY DENTAL CARE
NPI: 1942608112
· JACKSON, MS 39206
· 1223P0221X
$1.14M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,821 |
$29K |
| 2019 |
4,554 |
$117K |
| 2020 |
3,213 |
$89K |
| 2021 |
6,088 |
$179K |
| 2022 |
8,491 |
$259K |
| 2023 |
7,698 |
$243K |
| 2024 |
5,591 |
$222K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
8,049 |
6,974 |
$217K |
| D1351 |
|
8,114 |
1,187 |
$208K |
| D1206 |
|
5,434 |
4,823 |
$128K |
| D0120 |
|
3,914 |
3,655 |
$106K |
| D0150 |
|
3,162 |
2,492 |
$99K |
| D0140 |
|
1,714 |
1,426 |
$62K |
| D0210 |
|
888 |
812 |
$57K |
| D2391 |
|
597 |
287 |
$51K |
| D0274 |
|
1,480 |
1,324 |
$38K |
| D0272 |
|
1,908 |
1,610 |
$34K |
| D2392 |
|
280 |
137 |
$34K |
| D1208 |
|
2,367 |
1,908 |
$32K |
| D7140 |
|
356 |
160 |
$27K |
| D0330 |
|
382 |
354 |
$15K |
| D0145 |
|
319 |
292 |
$11K |
| D2930 |
|
53 |
15 |
$8K |
| D0350 |
|
111 |
107 |
$3K |
| D9230 |
|
102 |
97 |
$3K |
| D0220 |
|
226 |
198 |
$3K |