WEST CENTRAL SMILES PA
NPI: 1043463417
· LITCHFIELD, MN 55355
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/29/2008
$4.82M
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, JEREMY (DR./CEO) |
| NPI Enumeration Date | 10/29/2008 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, JEREMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
5,895 |
$1.30M |
| 2023 |
8,287 |
$1.80M |
| 2024 |
7,827 |
$1.72M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
10,081 |
10,068 |
$2.34M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
3,421 |
3,236 |
$1.53M |
| D0330 |
Panoramic radiographic image |
2,150 |
2,108 |
$232K |
| D0340 |
|
1,502 |
1,480 |
$205K |
| D0140 |
Limited oral evaluation - problem focused |
2,615 |
2,583 |
$191K |
| D0350 |
|
1,483 |
1,463 |
$164K |
| D8020 |
|
307 |
298 |
$116K |
| D0470 |
|
450 |
447 |
$42K |