KEENE ORTHODONTIC SPECIALISTS
NPI: 1184903197
· KEENE, NH 03431
· 1223X0400X
$469K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,167 |
$44K |
| 2019 |
885 |
$40K |
| 2020 |
763 |
$36K |
| 2021 |
1,145 |
$54K |
| 2022 |
1,268 |
$117K |
| 2023 |
1,227 |
$76K |
| 2024 |
1,315 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0340 |
|
2,009 |
1,907 |
$140K |
| D0330 |
|
1,939 |
1,842 |
$119K |
| D0150 |
|
1,743 |
1,660 |
$95K |
| D0350 |
|
2,026 |
1,910 |
$60K |
| D8080 |
|
25 |
25 |
$56K |
| DO350 |
|
14 |
14 |
$0.00 |
| DO340 |
|
14 |
14 |
$0.00 |