Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › PORT SAINT LUCIE › HAPPY SMILES OF PORT SAINT LUCIE

HAPPY SMILES OF PORT SAINT LUCIE

NPI: 1962862805 · PORT SAINT LUCIE, FL 34986 · Dentist · NPI assigned 03/04/2016

$10K
Total Medicaid Paid
423
Total Claims
421
Beneficiaries
5
Codes Billed
2019-12
First Month
2020-02
Last Month

Provider Details

Authorized OfficialLEIZGOLD, SIMON (OPERATIONS MANAGER)
NPI Enumeration Date03/04/2016

Related Entities

Other providers sharing the same authorized official: LEIZGOLD, SIMON

ProviderCityStateTotal Paid
MARIANNA ZADOV, P.A BOCA RATON FL $204K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $724.55
2020 398 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 153 152 $7K
D1330 62 62 $1K
D0210 Intraoral - complete series of radiographic images 123 122 $934.02
D1110 Prophylaxis - adult 25 25 $332.36
D1208 Topical application of fluoride, excluding varnish 60 60 $99.00