SLEEPY TOOTH ORTHODONTICS LLC
NPI: 1083230494
· MILLSBORO, DE 19966
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/22/2020
$8.29M
Total Medicaid Paid
Provider Details
| Authorized Official | GOLEBURN, GLEN (PARTNER) |
| NPI Enumeration Date | 06/22/2020 |
Related Entities
Other providers sharing the same authorized official: GOLEBURN, GLEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
314 |
$119K |
| 2021 |
2,844 |
$1.01M |
| 2022 |
5,003 |
$2.14M |
| 2023 |
7,073 |
$2.59M |
| 2024 |
7,028 |
$2.44M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
14,891 |
13,367 |
$3.41M |
| D8020 |
|
1,020 |
898 |
$2.43M |
| D8090 |
|
868 |
798 |
$1.44M |
| D8660 |
|
2,706 |
2,449 |
$941K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,295 |
832 |
$56K |
| D0330 |
Panoramic radiographic image |
485 |
387 |
$17K |
| D0350 |
|
237 |
158 |
$0.00 |
| D0340 |
|
128 |
86 |
$0.00 |
| D9986 |
|
186 |
172 |
$0.00 |
| D0603 |
|
230 |
176 |
$0.00 |
| D0602 |
|
188 |
122 |
$0.00 |
| D9310 |
|
28 |
27 |
$0.00 |