Dental
Mystic Westerly Orthodontics, PC
Mystic Westerly Orthodontics, PC was paid $146K by Medicaid between Jan 2018 and Sep 2018, across 1 billing code. Its largest line is D8670, Periodic orthodontic treatment visit — 100% of everything it billed.
33Billing provider infoMYSTIC WESTERLY ORTHODONTICS, PC
MYSTIC, CT 06355
MYSTIC, CT 06355
33aNPI1174933162assigned 04/30/2014
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$146K
24GClaims1,546
24DCodes billed1
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Connecticut
Rank by total paid#54 of 94
Median peer was paid$188K
This provider vs. median0.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,546 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 100% | 1,546 | 1,542 | $146K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKOZLOWSKI, JEFFREY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kozlowski Orthodontics | New London, CT | $149K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.