Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MYSTIC WESTERLY ORTHODONTICS, PC

NPI: 1174933162 · MYSTIC, CT 06355 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 04/30/2014

$146K
Total Medicaid Paid
1,546
Total Claims
1,542
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialKOZLOWSKI, JEFFREY (PRESIDENT)
NPI Enumeration Date04/30/2014

Related Entities

Other providers sharing the same authorized official: KOZLOWSKI, JEFFREY

ProviderCityStateTotal Paid
KOZLOWSKI ORTHODONTICS NEW LONDON CT $149K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,546 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 1,546 1,542 $146K