SMILE ORTHODONTICS STILLWATER LLC
NPI: 1821690496
· MAPLE GROVE, MN 55311
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 11/09/2020
$4.39M
Total Medicaid Paid
Provider Details
| Authorized Official | WOLFF, DOUGLAS (OWNER/DDS) |
| Parent Organization | SMILE ORTHODONTICS |
| NPI Enumeration Date | 11/09/2020 |
Related Entities
Other providers sharing the same authorized official: WOLFF, DOUGLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,557 |
$193K |
| 2022 |
5,298 |
$948K |
| 2023 |
7,878 |
$1.52M |
| 2024 |
9,629 |
$1.73M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
4,356 |
4,348 |
$1.70M |
| D8670 |
Periodic orthodontic treatment visit |
7,504 |
7,485 |
$1.69M |
| D0340 |
|
2,372 |
2,369 |
$269K |
| D0350 |
|
2,597 |
2,593 |
$195K |
| D0330 |
Panoramic radiographic image |
2,542 |
2,537 |
$190K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,527 |
2,524 |
$144K |
| D0470 |
|
2,387 |
2,385 |
$129K |
| D8090 |
|
77 |
77 |
$69K |