CELEBRACES NM LLC
NPI: 1184975526
· ALBUQUERQUE, NM 87105
· Dentist
· NPI assigned 09/25/2012
$223K
Total Medicaid Paid
Provider Details
| Authorized Official | CLAYDEN, DAVID (MEMBER) |
| NPI Enumeration Date | 09/25/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
307 |
$121K |
| 2019 |
337 |
$34K |
| 2020 |
164 |
$17K |
| 2021 |
94 |
$10K |
| 2022 |
130 |
$13K |
| 2023 |
100 |
$10K |
| 2024 |
156 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8660 |
|
1,263 |
1,263 |
$130K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
25 |
25 |
$93K |