SMILE FOUR PROFESSIONALS LLC
NPI: 1083848857
· PUEBLO, CO 81005
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/08/2009
$976K
Total Medicaid Paid
Provider Details
| Authorized Official | QUINN, TANIA (OWNER) |
| NPI Enumeration Date | 05/08/2009 |
Related Entities
Other providers sharing the same authorized official: QUINN, TANIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,254 |
$306K |
| 2019 |
2,363 |
$319K |
| 2020 |
1,039 |
$86K |
| 2021 |
961 |
$79K |
| 2022 |
1,331 |
$106K |
| 2023 |
1,019 |
$80K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8090 |
|
109 |
109 |
$289K |
| D8660 |
|
1,865 |
1,830 |
$258K |
| D8670 |
Periodic orthodontic treatment visit |
1,280 |
1,270 |
$161K |
| D0340 |
|
1,657 |
1,618 |
$95K |
| D0330 |
Panoramic radiographic image |
1,529 |
1,498 |
$78K |
| D0350 |
|
1,785 |
1,752 |
$55K |
| D0470 |
|
718 |
691 |
$34K |
| D8680 |
|
24 |
24 |
$6K |