Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › STILLWATER › STRAIGHT SMILES, PLLC

STRAIGHT SMILES, PLLC

NPI: 1215368725 · STILLWATER, MN 55082 · Dental Clinic/Center · NPI assigned 12/09/2013

$33K
Total Medicaid Paid
245
Total Claims
244
Beneficiaries
1
Codes Billed
2020-02
First Month
2021-04
Last Month

Provider Details

Authorized OfficialGULON, JOHN (PRESIDENT)
NPI Enumeration Date12/09/2013

Related Entities

Other providers sharing the same authorized official: GULON, JOHN

ProviderCityStateTotal Paid
ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C. ROSEVILLE MN $1.01M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 189 $26K
2021 56 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 245 244 $33K