THE SMILE DESIGNERS
NPI: 1720125404
· ENDICOTT, NY 13760
· General Practice Dentistry
· NPI assigned 01/31/2007
$574K
Total Medicaid Paid
Provider Details
| Authorized Official | GROSSMAN, STEVEN (OWNER) |
| NPI Enumeration Date | 01/31/2007 |
Related Entities
Other providers sharing the same authorized official: GROSSMAN, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
847 |
$31K |
| 2019 |
1,109 |
$41K |
| 2020 |
2,543 |
$76K |
| 2021 |
3,419 |
$117K |
| 2022 |
3,125 |
$112K |
| 2023 |
2,755 |
$100K |
| 2024 |
2,661 |
$98K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
5,630 |
5,609 |
$294K |
| D0120 |
Periodic oral evaluation - established patient |
5,381 |
5,366 |
$144K |
| D0274 |
Bitewings - four radiographic images |
1,511 |
1,507 |
$40K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,087 |
1,084 |
$32K |
| D1120 |
Prophylaxis - child |
547 |
543 |
$23K |
| D0330 |
Panoramic radiographic image |
572 |
571 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,209 |
1,206 |
$14K |
| D9110 |
|
196 |
191 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
16 |
12 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
38 |
38 |
$714.58 |
| D1999 |
|
272 |
260 |
$0.00 |