AGNETTA, EVAN
NPI: 1013523703
· KNOXVILLE, TN 37919
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/18/2020
$176K
Total Medicaid Paid
2,003
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,732 |
$176K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
2,280 |
1,597 |
$144K |
| D8660 |
|
409 |
393 |
$17K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
43 |
13 |
$16K |