BRIGHT SMILE LLC
NPI: 1376111690
· SILVER SPRING, MD 20906
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/14/2021
$1.11M
Total Medicaid Paid
Provider Details
| Authorized Official | NASSIRI, AZADEH (ORTHODONTIST) |
| NPI Enumeration Date | 06/14/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
160 |
$25K |
| 2022 |
1,866 |
$229K |
| 2023 |
3,532 |
$409K |
| 2024 |
4,761 |
$444K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
6,871 |
6,346 |
$511K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
323 |
317 |
$328K |
| D8660 |
|
1,221 |
1,197 |
$180K |
| D0140 |
Limited oral evaluation - problem focused |
1,496 |
1,463 |
$69K |
| D9310 |
|
394 |
390 |
$19K |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$643.30 |