Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › HAGERSTOWN › ANTIETAM ORTHODONTICS

ANTIETAM ORTHODONTICS

NPI: 1033490263 · HAGERSTOWN, MD 21740 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 09/01/2011

$485K
Total Medicaid Paid
4,783
Total Claims
4,676
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialTHOMOPULOS, PAUL (OWNER)
NPI Enumeration Date09/01/2011

Related Entities

Other providers sharing the same authorized official: THOMOPULOS, PAUL

ProviderCityStateTotal Paid
TJ ORTHODONTICS FREDERICK MD $276K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,391 $145K
2019 1,336 $118K
2020 1,096 $122K
2021 960 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 3,526 3,436 $262K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 78 78 $81K
D8090 62 62 $56K
D8660 320 317 $48K
D9310 797 783 $38K