DENTAL SMILES OF ORANGE LLC
NPI: 1053894261
· ORANGE, CT 06477
· 1223S0112X
$523K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
3,126 |
$94K |
| 2020 |
2,683 |
$80K |
| 2021 |
3,304 |
$95K |
| 2022 |
3,167 |
$91K |
| 2023 |
2,800 |
$82K |
| 2024 |
2,770 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
2,846 |
2,835 |
$127K |
| D0120 |
|
2,836 |
2,816 |
$89K |
| D1208 |
|
2,837 |
2,826 |
$80K |
| D0274 |
|
1,764 |
1,750 |
$75K |
| D0230 |
|
4,258 |
1,968 |
$64K |
| D0220 |
|
2,140 |
2,084 |
$35K |
| D0140 |
|
534 |
506 |
$20K |
| D0150 |
|
241 |
240 |
$14K |
| D0330 |
|
101 |
99 |
$8K |
| D1110 |
|
264 |
256 |
$8K |
| D2392 |
|
29 |
13 |
$3K |