Medicaid Provider Spending

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

NPI: 1184260358 · SHAWANO, WI 54166 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/22/2019

$449K
Total Medicaid Paid
2,985
Total Claims
2,841
Beneficiaries
6
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWEGNER, TAMMY (OPERATIONS MANAGER)
Parent OrganizationKRISTO LTD
NPI Enumeration Date11/22/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 2,985 $449K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 1,712 1,572 $272K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 77 77 $112K
D8660 299 298 $25K
D0330 Panoramic radiographic image 299 298 $17K
D0340 299 298 $13K
D0350 299 298 $10K