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LEGENDARY SMILES ORTHODONTICS LLC
LEGENDARY SMILES ORTHODONTICS LLC
NPI: 1114454097
· RENO, NV 89502
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/22/2017
$993K
Total Medicaid Paid
Provider Details
| Authorized Official | ROCKWELL, NATE (MANAGER) |
| NPI Enumeration Date | 05/22/2017 |
Related Entities
Other providers sharing the same authorized official: ROCKWELL, NATE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,744 |
$141K |
| 2019 |
3,528 |
$128K |
| 2020 |
4,098 |
$88K |
| 2021 |
6,088 |
$179K |
| 2022 |
4,396 |
$142K |
| 2023 |
4,696 |
$151K |
| 2024 |
5,111 |
$164K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8660 |
|
11,707 |
9,778 |
$456K |
| D0330 |
Panoramic radiographic image |
8,248 |
6,799 |
$176K |
| D0340 |
|
5,237 |
4,324 |
$171K |
| D0350 |
|
8,427 |
6,931 |
$131K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
30 |
13 |
$40K |
| D8020 |
|
12 |
12 |
$18K |