NPI: 1104857648
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,265 | $125K |
| 2019 | 1,588 | $175K |
| 2020 | 470 | $72K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 1,322 | 1,117 | $240K |
| D8030 | 530 | 522 | $44K | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 70 | 65 | $34K |
| D0340 | 273 | 270 | $15K | |
| D8680 | 63 | 34 | $12K | |
| D0330 | Panoramic radiographic image | 273 | 270 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 407 | 395 | $9K |
| D0350 | 273 | 270 | $3K | |
| D0470 | 112 | 111 | $2K |