CORTARO SMILES AND ORTHODONTICS, LLP
NPI: 1518273598
· TUCSON, AZ 85743
· General Practice Dentistry
· NPI assigned 08/27/2010
$189K
Total Medicaid Paid
Provider Details
| Authorized Official | SWENSEN, ERIC (CONTRACTS ADMIN) |
| NPI Enumeration Date | 08/27/2010 |
Related Entities
Other providers sharing the same authorized official: SWENSEN, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
929 |
$12K |
| 2019 |
3,686 |
$50K |
| 2020 |
4,594 |
$61K |
| 2021 |
4,650 |
$31K |
| 2022 |
4,027 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,553 |
2,408 |
$56K |
| D1206 |
Topical application of fluoride varnish |
2,848 |
2,673 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
1,868 |
1,735 |
$26K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,955 |
1,449 |
$18K |
| D0220 |
Intraoral - periapical first radiographic image |
1,706 |
1,578 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
492 |
472 |
$11K |
| D0272 |
Bitewings - two radiographic images |
925 |
865 |
$10K |
| D0350 |
|
826 |
637 |
$8K |
| D0274 |
Bitewings - four radiographic images |
382 |
355 |
$5K |
| D0330 |
Panoramic radiographic image |
149 |
147 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
29 |
13 |
$2K |
| D1351 |
Sealant - per tooth |
237 |
66 |
$2K |
| D1110 |
Prophylaxis - adult |
107 |
104 |
$1K |
| D1354 |
|
52 |
12 |
$918.95 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
68 |
62 |
$874.18 |
| D1999 |
|
187 |
180 |
$58.45 |
| D1330 |
|
2,502 |
2,286 |
$0.00 |