Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THRIVING SMILES LLC

NPI: 1972204550 · NORTH RIDGEVILLE, OH 44039 · Dental Clinic/Center · NPI assigned 03/13/2023

$1K
Total Medicaid Paid
24
Total Claims
24
Beneficiaries
2
Codes Billed
2024-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBOUKAS, GEORGE (DOCTOR)
NPI Enumeration Date03/13/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 24 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 12 12 $687.96
D1206 Topical application of fluoride varnish 12 12 $353.76