SMILE DOCTORS OF MINNESOTA PC
NPI: 1255974325
· ALBERT LEA, MN 56007
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/22/2019
$930K
Total Medicaid Paid
Provider Details
| Authorized Official | LAW, SCOTT (OWNER/PRESIDENT) |
| NPI Enumeration Date | 10/22/2019 |
Related Entities
Other providers sharing the same authorized official: LAW, SCOTT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
49 |
$9K |
| 2023 |
350 |
$78K |
| 2024 |
2,423 |
$842K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
2,685 |
2,685 |
$684K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
98 |
97 |
$242K |
| D0340 |
|
13 |
13 |
$2K |
| D0350 |
|
13 |
13 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$349.80 |