ODONTOTECH, PC
NPI: 1063974780
· INVER GROVE HEIGHTS, MN 55076
· Dental Clinic/Center
· NPI assigned 04/02/2019
$4.73M
Total Medicaid Paid
Provider Details
| Authorized Official | LEON, VLADIMIR (ORTHODONTIST) |
| NPI Enumeration Date | 04/02/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,889 |
$309K |
| 2020 |
4,021 |
$647K |
| 2021 |
6,984 |
$960K |
| 2022 |
6,089 |
$1.04M |
| 2023 |
5,365 |
$965K |
| 2024 |
4,835 |
$815K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
12,575 |
12,564 |
$2.84M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
345 |
343 |
$602K |
| D0340 |
|
3,476 |
3,393 |
$340K |
| D0330 |
Panoramic radiographic image |
4,138 |
4,005 |
$329K |
| D0350 |
|
3,564 |
3,487 |
$275K |
| D0470 |
|
2,253 |
2,181 |
$142K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,219 |
2,216 |
$122K |
| D0140 |
Limited oral evaluation - problem focused |
911 |
870 |
$47K |
| D8999 |
|
17 |
17 |
$19K |
| D8660 |
|
665 |
595 |
$17K |
| D7111 |
|
20 |
12 |
$2K |