DENTALIGN P.A.
NPI: 1003174764
· MAPLE GROVE, MN 55369
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/01/2012
$667K
Total Medicaid Paid
Provider Details
| Authorized Official | KELLY, CHAD (PRESIDENT) |
| NPI Enumeration Date | 05/01/2012 |
Related Entities
Other providers sharing the same authorized official: KELLY, CHAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
181 |
$27K |
| 2021 |
575 |
$86K |
| 2022 |
764 |
$137K |
| 2023 |
1,023 |
$220K |
| 2024 |
981 |
$198K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
3,399 |
3,398 |
$660K |
| D0340 |
|
25 |
25 |
$2K |
| D0350 |
|
25 |
25 |
$2K |
| D0470 |
|
25 |
25 |
$2K |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$994.11 |
| D8660 |
|
25 |
25 |
$867.50 |