LUCKETT, BRANDON
NPI: 1194141895
· BOARDMAN, OH 44512
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/05/2014
$207K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
142 |
$5K |
| 2021 |
1,246 |
$64K |
| 2022 |
1,493 |
$111K |
| 2024 |
123 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
440 |
438 |
$123K |
| D0340 |
|
546 |
544 |
$33K |
| D0330 |
Panoramic radiographic image |
615 |
612 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
579 |
576 |
$14K |
| D0350 |
|
576 |
573 |
$7K |
| D0470 |
|
234 |
234 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
13 |
$0.00 |