SMILES OHIO STUART L DUCHON DMD MS LLC
NPI: 1093306565
· BEDFORD, OH 44146
· Dental Clinic/Center
· NPI assigned 01/28/2021
$1.30M
Total Medicaid Paid
Provider Details
| Authorized Official | DUCHON, STUART (OWNER) |
| NPI Enumeration Date | 01/28/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,578 |
$219K |
| 2022 |
2,138 |
$300K |
| 2023 |
1,612 |
$251K |
| 2024 |
1,928 |
$525K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
3,366 |
3,280 |
$1.05M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
95 |
95 |
$77K |
| D0340 |
|
858 |
832 |
$64K |
| D0330 |
Panoramic radiographic image |
867 |
842 |
$49K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,083 |
1,039 |
$34K |
| D0350 |
|
867 |
842 |
$13K |
| D0470 |
|
120 |
119 |
$3K |