WALLA WALLA ORTHODONTICS
NPI: 1184284689
· WALLA WALLA, WA 99362
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/17/2019
$493K
Total Medicaid Paid
Provider Details
| Authorized Official | CREWSE, BRIANNA (FINANCIAL COORDINATOR) |
| NPI Enumeration Date | 06/17/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
194 |
$52K |
| 2020 |
418 |
$93K |
| 2021 |
497 |
$85K |
| 2022 |
586 |
$63K |
| 2023 |
900 |
$86K |
| 2024 |
1,169 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
730 |
726 |
$230K |
| D8670 |
Periodic orthodontic treatment visit |
690 |
687 |
$164K |
| D0160 |
|
1,423 |
1,416 |
$60K |
| D0170 |
|
909 |
901 |
$35K |
| D8030 |
|
12 |
12 |
$3K |