Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SUPER SMILE CENTER OF BETHESDA
NPI: 1972135291 · BETHESDA, MD 20817 ·
1223G0001X
$129K
Total Medicaid Paid
2,542
Total Claims
2,155
Beneficiaries
9
Codes Billed
2023-01
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
1,717
$95K
2024
825
$34K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D2392
226
79
$27K
D1110
423
409
$27K
D0140
557
434
$26K
D0150
239
225
$13K
D1208
462
447
$11K
D2393
71
43
$11K
D0330
187
176
$8K
D0274
232
221
$5K
D0220
145
121
$2K