SMILE HEALTH SOLUTIONS
NPI: 1578807038
· STOCKTON, CA 95207
· Dentist
· NPI assigned 11/21/2012
$482K
Total Medicaid Paid
Provider Details
| Authorized Official | CALLENDER, RALPH (MANAGING ORTHODONTIST) |
| NPI Enumeration Date | 11/21/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,079 |
$215K |
| 2019 |
2,095 |
$250K |
| 2020 |
94 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,167 |
1,149 |
$315K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,005 |
998 |
$57K |
| D0340 |
|
1,023 |
1,020 |
$51K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
34 |
34 |
$30K |
| D0330 |
Panoramic radiographic image |
1,025 |
1,021 |
$29K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$490.00 |