PRISTERA, ADAM
NPI: 1114139599
· RENTON, WA 98055
· Dentist
· NPI assigned 05/05/2007
$640K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,007 |
$109K |
| 2019 |
1,244 |
$161K |
| 2020 |
1,651 |
$139K |
| 2021 |
761 |
$141K |
| 2022 |
590 |
$89K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,196 |
1,079 |
$407K |
| D8670 |
Periodic orthodontic treatment visit |
246 |
243 |
$58K |
| D8660 |
|
230 |
192 |
$49K |
| D0160 |
|
1,141 |
1,077 |
$42K |
| D0330 |
Panoramic radiographic image |
1,460 |
1,322 |
$35K |
| D8060 |
|
103 |
76 |
$29K |
| D1999 |
|
812 |
746 |
$11K |
| D8020 |
|
26 |
25 |
$8K |
| D0170 |
|
39 |
39 |
$1K |