BEYOND YOUR SMILE PC
NPI: 1861652067
· FRAMINGHAM, MA 01701
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/11/2008
$273K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, SUE (ORTHODONTIST) |
| NPI Enumeration Date | 06/11/2008 |
Related Entities
Other providers sharing the same authorized official: LEE, SUE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
233 |
$48K |
| 2019 |
271 |
$59K |
| 2020 |
163 |
$36K |
| 2021 |
251 |
$51K |
| 2022 |
289 |
$44K |
| 2023 |
168 |
$23K |
| 2024 |
57 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,325 |
1,162 |
$268K |
| D0140 |
Limited oral evaluation - problem focused |
53 |
50 |
$2K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D8680 |
|
17 |
13 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$342.00 |