TRI-CITY ORTHODONTICS, LLC
NPI: 1164089934
· RICHLAND, WA 99352
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/28/2019
$2.87M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: COLLETTE, JONATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,498 |
$390K |
| 2020 |
6,147 |
$783K |
| 2021 |
3,464 |
$776K |
| 2022 |
3,690 |
$793K |
| 2023 |
604 |
$131K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
5,186 |
4,976 |
$1.95M |
| D8670 |
Periodic orthodontic treatment visit |
2,105 |
2,021 |
$466K |
| D8660 |
|
604 |
547 |
$168K |
| D0160 |
|
3,173 |
3,142 |
$134K |
| D8030 |
|
262 |
237 |
$83K |
| D1999 |
|
3,295 |
3,077 |
$44K |
| D0170 |
|
778 |
768 |
$30K |