COLORADO COMFORT SMILES PROF LLC
NPI: 1316569262
· AURORA, CO 80010
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/14/2020
$243K
Total Medicaid Paid
Provider Details
| Authorized Official | GRIJALVA, NORMA (OFFICE MANAGER) |
| Parent Organization | COLORADO COMFORT SMILES PROF LLC |
| NPI Enumeration Date | 05/14/2020 |
Related Entities
Other providers sharing the same authorized official: GRIJALVA, NORMA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
242 |
$17K |
| 2021 |
514 |
$79K |
| 2022 |
675 |
$59K |
| 2023 |
553 |
$51K |
| 2024 |
408 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8660 |
|
506 |
502 |
$72K |
| D8670 |
Periodic orthodontic treatment visit |
389 |
389 |
$51K |
| D8999 |
|
20 |
18 |
$43K |
| D0340 |
|
489 |
484 |
$29K |
| D0330 |
Panoramic radiographic image |
480 |
476 |
$25K |
| D0350 |
|
424 |
420 |
$14K |
| D8680 |
|
30 |
30 |
$7K |
| D0470 |
|
54 |
54 |
$3K |