GROWING SMILES, LLC
NPI: 1518152883
· LAWRENCE, KS 66049
· Dental Clinic/Center
· NPI assigned 09/10/2007
$212.08
Total Medicaid Paid
Provider Details
| Authorized Official | HENDERSON, KELLI (OWNER/MANAGER) |
| NPI Enumeration Date | 09/10/2007 |
Related Entities
Other providers sharing the same authorized official: HENDERSON, KELLI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
71 |
$61.56 |
| 2021 |
50 |
$150.52 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
34 |
30 |
$142.76 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$69.32 |
| D1999 |
|
75 |
58 |
$0.00 |