SMILE DESIGN ORTHODONTICS, LLC
NPI: 1891102604
· HAZLEHURST, MS 39083
· 122300000X
$3.80M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,231 |
$155K |
| 2019 |
2,654 |
$289K |
| 2020 |
4,028 |
$430K |
| 2021 |
9,116 |
$882K |
| 2022 |
10,191 |
$909K |
| 2023 |
8,354 |
$720K |
| 2024 |
4,467 |
$419K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
|
26,509 |
22,691 |
$2.50M |
| D8080 |
|
1,042 |
833 |
$808K |
| D0140 |
|
3,451 |
3,018 |
$119K |
| D0340 |
|
2,655 |
2,191 |
$118K |
| D0330 |
|
2,305 |
1,809 |
$83K |
| D9310 |
|
2,088 |
1,848 |
$81K |
| D0350 |
|
2,474 |
2,039 |
$53K |
| D0150 |
|
918 |
622 |
$14K |
| D8060 |
|
13 |
13 |
$14K |
| D0470 |
|
105 |
102 |
$6K |
| D0120 |
|
112 |
78 |
$2K |
| D1120 |
|
63 |
38 |
$1K |
| D1206 |
|
63 |
38 |
$904.40 |
| D9110 |
|
97 |
76 |
$395.29 |
| D0230 |
|
99 |
12 |
$317.52 |
| D0272 |
|
23 |
15 |
$203.00 |
| D0220 |
|
24 |
15 |
$163.80 |