SMILE STUDIO ORTHODONTICS
NPI: 1730362054
· PARKER, CO 80134
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 12/10/2007
$398K
Total Medicaid Paid
Provider Details
| Authorized Official | LASTER, ANNA (INSURANCE COORDINATOR) |
| Parent Organization | WATTS ORTHODONTICS PC |
| NPI Enumeration Date | 12/10/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,586 |
$257K |
| 2019 |
1,513 |
$120K |
| 2020 |
280 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8090 |
|
56 |
54 |
$142K |
| D8660 |
|
820 |
814 |
$112K |
| D0340 |
|
818 |
811 |
$46K |
| D8670 |
Periodic orthodontic treatment visit |
312 |
309 |
$39K |
| D0330 |
Panoramic radiographic image |
560 |
556 |
$28K |
| D0350 |
|
786 |
780 |
$24K |
| D8680 |
|
14 |
14 |
$3K |
| D8692 |
|
13 |
13 |
$3K |