SMILES IN MOTION OF MINNESOTA PC
NPI: 1710442413
· MAPLEWOOD, MN 55109
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 02/06/2019
$1.47M
Total Medicaid Paid
Provider Details
| Authorized Official | KRISTO, STEVEN (OWNER) |
| NPI Enumeration Date | 02/06/2019 |
Related Entities
Other providers sharing the same authorized official: KRISTO, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
1,463 |
$134K |
| 2022 |
2,080 |
$289K |
| 2023 |
2,465 |
$492K |
| 2024 |
2,859 |
$554K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
4,843 |
4,833 |
$859K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,063 |
1,013 |
$439K |
| D0340 |
|
744 |
733 |
$63K |
| D0350 |
|
743 |
733 |
$49K |
| D0330 |
Panoramic radiographic image |
730 |
719 |
$37K |
| D8660 |
|
744 |
734 |
$22K |