SMILE ARC ORTHODONTICS & PEDODONTICS LLC
NPI: 1902344039
· LANCASTER, PA 17601
· Dental Clinic/Center
· NPI assigned 02/09/2017
$251K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,348 |
$251K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,009 |
1,000 |
$189K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
43 |
42 |
$41K |
| D8660 |
|
296 |
294 |
$22K |