COLORADO COMFORT SMILES PROF LLC
NPI: 1407478159
· SILVERTHORNE, CO 80498
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/15/2020
Provider Details
| Authorized Official | GRIJALVA, NORMA (OFFICE MANAGER) |
| Parent Organization | COLORADO COMFORT SMILES PROF LLC |
| NPI Enumeration Date | 05/15/2020 |
Related Entities
Other providers sharing the same authorized official: GRIJALVA, NORMA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8999 |
|
14 |
14 |
$44K |