SMILE FREDERICK LLC
NPI: 1407294788
· FREDERICK, MD 21704
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/10/2013
$2.79M
Total Medicaid Paid
Provider Details
| Authorized Official | MANSMAN, ROBERT (OWNER DOCTOR) |
| NPI Enumeration Date | 06/10/2013 |
Related Entities
Other providers sharing the same authorized official: MANSMAN, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,325 |
$302K |
| 2019 |
3,533 |
$574K |
| 2020 |
2,618 |
$376K |
| 2021 |
2,402 |
$392K |
| 2022 |
2,085 |
$275K |
| 2023 |
3,001 |
$399K |
| 2024 |
2,895 |
$473K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
723 |
685 |
$849K |
| D8670 |
Periodic orthodontic treatment visit |
9,301 |
9,020 |
$698K |
| D8090 |
|
603 |
586 |
$584K |
| D8660 |
|
2,404 |
2,357 |
$355K |
| D9310 |
|
2,813 |
2,639 |
$126K |
| D8680 |
|
412 |
186 |
$90K |
| D0340 |
|
764 |
658 |
$39K |
| D0470 |
|
762 |
657 |
$24K |
| D0350 |
|
764 |
658 |
$14K |
| D0330 |
Panoramic radiographic image |
313 |
307 |
$13K |