Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ELITE ORTHODONTICS CENTER, LLC

NPI: 1205153665 · HOUSTON, TX 77055 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 04/26/2010

$5K
Total Medicaid Paid
126
Total Claims
120
Beneficiaries
2
Codes Billed
2021-03
First Month
2022-07
Last Month

Provider Details

Authorized OfficialNGUYEN, ANN (PRESIDENT)
NPI Enumeration Date04/26/2010

Related Entities

Other providers sharing the same authorized official: NGUYEN, ANN

ProviderCityStateTotal Paid
SMILE DOCS ORTHODONTICS, P.C. KATY TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 99 $4K
2022 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 70 66 $4K
D0340 56 54 $1K