SMILE SAVERS ORTHODO
NPI: 1003168295
· BRONX, NY 10475
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/11/2012
$557K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GIANNOUTSOS, EFSTATHIOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
808 |
$104K |
| 2019 |
675 |
$88K |
| 2020 |
803 |
$71K |
| 2021 |
1,336 |
$89K |
| 2022 |
1,022 |
$93K |
| 2023 |
818 |
$71K |
| 2024 |
334 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
2,401 |
2,385 |
$490K |
| D0330 |
Panoramic radiographic image |
816 |
813 |
$22K |
| D0470 |
|
573 |
555 |
$15K |
| D0340 |
|
379 |
370 |
$13K |
| D0350 |
|
880 |
861 |
$9K |
| D8660 |
|
288 |
283 |
$8K |
| D9995 |
|
19 |
19 |
$446.12 |
| D0140 |
Limited oral evaluation - problem focused |
19 |
19 |
$208.82 |
| D1999 |
|
421 |
419 |
$0.00 |