SMILES FOR THE FUTURE, LLC
NPI: 1548484561
· GLASTONBURY, CT 06033
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 04/12/2007
$394K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,882 |
$65K |
| 2019 |
2,062 |
$71K |
| 2020 |
1,878 |
$45K |
| 2021 |
1,976 |
$60K |
| 2022 |
1,969 |
$55K |
| 2023 |
1,863 |
$53K |
| 2024 |
2,049 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
4,340 |
4,052 |
$163K |
| D0120 |
Periodic oral evaluation - established patient |
4,705 |
4,324 |
$131K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,049 |
3,729 |
$96K |
| D0272 |
Bitewings - two radiographic images |
138 |
135 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
13 |
$375.60 |
| D1999 |
|
432 |
404 |
$0.00 |