STRAIGHT SMILES, LLC
NPI: 1528453214
· PORTLAND, OR 97230
· Dental Clinic/Center
· NPI assigned 03/31/2015
$219K
Total Medicaid Paid
1,027
Beneficiary Records
Provider Details
| Authorized Official | BEDONT, CURTIS (MANAGER) |
| NPI Enumeration Date | 03/31/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
239 |
$51K |
| 2019 |
289 |
$82K |
| 2020 |
535 |
$59K |
| 2021 |
208 |
$27K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
932 |
733 |
$215K |
| D1999 |
|
264 |
231 |
$3K |
| D0160 |
|
16 |
14 |
$561.34 |
| D8670 |
Periodic orthodontic treatment visit |
59 |
49 |
$0.00 |