Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › SOUDERTON › ORTHODONTIC SPECIALISTS OF THE INDIAN VALLEY, PLLC

ORTHODONTIC SPECIALISTS OF THE INDIAN VALLEY, PLLC

NPI: 1134642382 · SOUDERTON, PA 18964 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 07/19/2017

$87K
Total Medicaid Paid
343
Total Claims
338
Beneficiaries
2
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSILVESTRE, JUSTIN (OWNER)
NPI Enumeration Date07/19/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 343 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 208 204 $71K
D8660 135 134 $16K