SMILE THREE PROFESSIONALS
NPI: 1275767303
· LAKEWOOD, CO 80215
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/04/2009
$349K
Total Medicaid Paid
Provider Details
| Authorized Official | BAHR, CRAIG (OWNER) |
| NPI Enumeration Date | 05/04/2009 |
Related Entities
Other providers sharing the same authorized official: BAHR, CRAIG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
826 |
$61K |
| 2019 |
2,683 |
$194K |
| 2020 |
1,091 |
$91K |
| 2021 |
37 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9971 |
|
1,855 |
205 |
$135K |
| D8660 |
|
742 |
667 |
$102K |
| D0340 |
|
664 |
593 |
$34K |
| D0330 |
Panoramic radiographic image |
554 |
497 |
$28K |
| D0350 |
|
653 |
580 |
$20K |
| D8670 |
Periodic orthodontic treatment visit |
138 |
118 |
$17K |
| D8220 |
|
31 |
27 |
$14K |