Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SMILE TWO, PROF. LLC

NPI: 1285406728 · PUEBLO, CO 81005 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/27/2023

$92K
Total Medicaid Paid
1,186
Total Claims
1,185
Beneficiaries
6
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLEVINS, LIZ (OFFICE MANGAGER)
Parent OrganizationSMILE TWO, PROF. LLC
NPI Enumeration Date10/27/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 280 $23K
2024 906 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8660 195 195 $29K
D8670 Periodic orthodontic treatment visit 174 174 $23K
D0340 230 230 $14K
D0330 Panoramic radiographic image 229 229 $12K
D0350 275 274 $9K
D0470 83 83 $4K