SMILE ORTHODONTICS STILLWATER LLC
NPI: 1518572916
· SAINT PAUL, MN 55116
· 1223X0400X
$2.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
379 |
$52K |
| 2022 |
3,440 |
$566K |
| 2023 |
5,246 |
$903K |
| 2024 |
6,599 |
$1.11M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
|
4,485 |
4,480 |
$1.29M |
| D8670 |
|
3,378 |
3,377 |
$768K |
| D0340 |
|
1,432 |
1,429 |
$167K |
| D0350 |
|
1,683 |
1,678 |
$131K |
| D0330 |
|
1,628 |
1,622 |
$111K |
| D0150 |
|
1,593 |
1,588 |
$91K |
| D0470 |
|
1,452 |
1,446 |
$68K |
| D8090 |
|
13 |
13 |
$10K |