Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › APPLE VALLEY › ORTHODONTIC CARE GROUP

ORTHODONTIC CARE GROUP

NPI: 1043300262 · APPLE VALLEY, MN 55124 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/16/2006

$45K
Total Medicaid Paid
1,265
Total Claims
1,250
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialMONTGOMERY, TIMOTHY (PRESIDENT)
NPI Enumeration Date10/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,265 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8090 94 91 $45K
D0340 293 290 $63.37
D0330 Panoramic radiographic image 292 289 $60.09
D0350 293 290 $30.00
D9310 293 290 $30.00