NPI: 1164807632 · SAINT LOUIS, MO 63104 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 07/27/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 860 | $196K |
| 2019 | 543 | $103K |
| 2020 | 1,432 | $205K |
| 2021 | 1,498 | $271K |
| 2022 | 679 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 3,361 | 3,241 | $788K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 67 | 61 | $59K |
| D8999 | 1,041 | 1,008 | $43K | |
| D8660 | 99 | 82 | $7K | |
| D0330 | Panoramic radiographic image | 189 | 170 | $3K |
| D9310 | 192 | 174 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 63 | 61 | $1K |