Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › KLAMATH FALLS › KLAMATH SMILES, LLC

KLAMATH SMILES, LLC

NPI: 1669853487 · KLAMATH FALLS, OR 97601 · Dental Clinic/Center · NPI assigned 06/17/2015

$0.00
Total Medicaid Paid
54
Total Claims
52
Beneficiaries
2
Codes Billed
2019-12
First Month
2024-05
Last Month

Provider Details

Authorized OfficialDAVIS, MARK (OWNER)
NPI Enumeration Date06/17/2015

Related Entities

Other providers sharing the same authorized official: DAVIS, MARK

ProviderCityStateTotal Paid
ENA INCORPORATED PEDRO OH $29.03M
PREMIER OB GYN OF TAMPA LLP TAMPA FL $1.42M
PEMISCOT COUNTY MEMORIAL HOSPITAL PORTAGEVILLE MO $207K
DENTURE & IMPLANT CENTERS OF AMERICA FRESNO CA $82K
DAVIS ORTHOPAEDICS PRESCOTT VALLEY AZ $69K
MIDLANDS OB-GYN, PC NORFOLK NE $813.11
GRAND RAPIDS EYE CARE 2820 PLLC GRAND RAPIDS MI $366.31

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 26 $0.00
2021 15 $0.00
2024 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 12 12 $0.00
D0120 Periodic oral evaluation - established patient 42 40 $0.00