SMILE 5 PROFESSIONALS LLC
NPI: 1255666376
· AURORA, CO 80010
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/07/2009
$219K
Total Medicaid Paid
Provider Details
| Authorized Official | BOWMAN, BRODIE (OWNER) |
| NPI Enumeration Date | 10/07/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
895 |
$98K |
| 2019 |
783 |
$58K |
| 2020 |
771 |
$57K |
| 2021 |
44 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8660 |
|
499 |
497 |
$68K |
| D8670 |
Periodic orthodontic treatment visit |
296 |
296 |
$37K |
| D8090 |
|
13 |
13 |
$34K |
| D0340 |
|
480 |
476 |
$27K |
| D0330 |
Panoramic radiographic image |
488 |
483 |
$25K |
| D0350 |
|
477 |
473 |
$15K |
| D0470 |
|
226 |
222 |
$11K |
| D8680 |
|
14 |
14 |
$3K |