ORTHODONTICS AT JACKSON HEIGHTS SMILES, PLLC
NPI: 1083033773
· EAST ELMHURST, NY 11370
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 04/10/2014
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | MATHEW, SAJU (OWNER) |
| NPI Enumeration Date | 04/10/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
402 |
$46K |
| 2022 |
442 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
373 |
372 |
$107K |
| D0330 |
Panoramic radiographic image |
175 |
175 |
$4K |
| D0340 |
|
61 |
61 |
$3K |
| D0350 |
|
174 |
174 |
$2K |
| D8660 |
|
61 |
61 |
$2K |