BEAUTIFUL SMILES ORTHODONTICS
NPI: 1598937963
· BEDFORD, OH 44146
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/26/2008
$246K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
446 |
$69K |
| 2020 |
544 |
$97K |
| 2021 |
287 |
$66K |
| 2022 |
55 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
829 |
793 |
$218K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
16 |
16 |
$11K |
| D0340 |
|
119 |
112 |
$7K |
| D0330 |
Panoramic radiographic image |
119 |
112 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
130 |
119 |
$3K |
| D0350 |
|
119 |
112 |
$1K |