DR. TYLER H. JOLLEY, DMD PC DOING BUSINESS AS JOLLEY SMILES
NPI: 1144540444
· GRAND JUNCTION, CO 81506
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/09/2010
$2.00M
Total Medicaid Paid
Provider Details
| Authorized Official | CRONKHITE, TONJA (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 06/09/2010 |
Related Entities
Other providers sharing the same authorized official: CRONKHITE, TONJA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,382 |
$315K |
| 2019 |
5,123 |
$617K |
| 2020 |
4,669 |
$462K |
| 2021 |
3,402 |
$263K |
| 2022 |
2,241 |
$177K |
| 2023 |
1,586 |
$124K |
| 2024 |
608 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8660 |
|
5,545 |
5,491 |
$768K |
| D8090 |
|
143 |
137 |
$376K |
| D0340 |
|
4,685 |
4,622 |
$270K |
| D8670 |
Periodic orthodontic treatment visit |
1,627 |
1,601 |
$203K |
| D0350 |
|
5,442 |
5,368 |
$172K |
| D0330 |
Panoramic radiographic image |
3,250 |
3,204 |
$170K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
13 |
13 |
$30K |
| D8680 |
|
27 |
27 |
$6K |
| D1206 |
Topical application of fluoride varnish |
279 |
278 |
$5K |