Medicaid Provider Spending

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

SMILE DOCS ORTHODONTICS, P.C.

NPI: 1205363082 · KATY, TX 77494 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/11/2017

$1K
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
2
Codes Billed
2022-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialNGUYEN, ANN (PRESIDENT)
NPI Enumeration Date05/11/2017

Related Entities

Other providers sharing the same authorized official: NGUYEN, ANN

ProviderCityStateTotal Paid
ELITE ORTHODONTICS CENTER, LLC HOUSTON TX $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 13 13 $829.14
D0340 13 13 $396.96