SUPERLATIVE SMILES DENTAL P.C.
NPI: 1013149772
· BROOKLYN, NY 11220
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/13/2009
$2.33M
Total Medicaid Paid
Provider Details
| Authorized Official | LUK, DAVID (DR) |
| NPI Enumeration Date | 08/13/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,382 |
$351K |
| 2019 |
4,190 |
$385K |
| 2020 |
3,056 |
$355K |
| 2021 |
4,217 |
$368K |
| 2022 |
3,730 |
$301K |
| 2023 |
3,907 |
$312K |
| 2024 |
3,485 |
$261K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
7,005 |
6,893 |
$1.58M |
| D9310 |
|
4,696 |
4,695 |
$240K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
115 |
115 |
$111K |
| D0340 |
|
2,699 |
2,698 |
$99K |
| D8660 |
|
3,087 |
3,041 |
$89K |
| D0330 |
Panoramic radiographic image |
2,871 |
2,871 |
$83K |
| D0470 |
|
2,659 |
2,658 |
$69K |
| D8680 |
|
175 |
175 |
$30K |
| D0350 |
|
2,660 |
2,659 |
$28K |