Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HEAVENLY SMILES, PA
NPI: 1982294641 · HAMPDEN, ME 04444 ·
124Q00000X
$172K
Total Medicaid Paid
6,357
Total Claims
5,646
Beneficiaries
12
Codes Billed
2022-08
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
371
$8K
2023
3,058
$80K
2024
2,928
$84K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1206
1,557
1,493
$37K
D0190
1,830
1,732
$37K
D1110
335
326
$22K
D1310
899
860
$21K
D1120
391
372
$19K
D0274
226
221
$10K
D1354
394
45
$9K
D0220
283
277
$6K
D0230
272
256
$4K
D1351
117
13
$3K
D0210
39
38
$3K
D1330
14
13
$270.16