MASS KIDZ HEALTHY SMILES LLC
NPI: 1952658056
· BRAINTREE, MA 02184
· 302F00000X
$575K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,462 |
$151K |
| 2019 |
3,676 |
$118K |
| 2020 |
497 |
$12K |
| 2021 |
464 |
$17K |
| 2022 |
2,169 |
$75K |
| 2023 |
3,031 |
$102K |
| 2024 |
2,839 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
4,059 |
1,077 |
$158K |
| D1120 |
|
3,027 |
3,018 |
$138K |
| D1206 |
|
4,916 |
4,877 |
$131K |
| D0190 |
|
3,260 |
3,248 |
$90K |
| D0191 |
|
1,659 |
1,628 |
$45K |
| D9920 |
|
107 |
106 |
$8K |
| D9410 |
|
97 |
97 |
$3K |
| D9110 |
|
13 |
13 |
$975.00 |