NEW YORK ORTHODONTIC GROUP DBA JACKSON HEIGHTS ORTHODONTICS
NPI: 1235480450
· JACKSON HEIGHTS, NY 11372
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/27/2012
$3.36M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GIANNOUTSOS, EFSTATHIOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,600 |
$498K |
| 2019 |
4,972 |
$456K |
| 2020 |
5,193 |
$423K |
| 2021 |
8,114 |
$420K |
| 2022 |
5,513 |
$447K |
| 2023 |
6,039 |
$549K |
| 2024 |
5,476 |
$565K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
12,067 |
11,964 |
$2.56M |
| D0340 |
|
4,592 |
4,591 |
$150K |
| D0330 |
Panoramic radiographic image |
5,383 |
5,383 |
$147K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
138 |
138 |
$131K |
| D0470 |
|
4,596 |
4,595 |
$117K |
| D8660 |
|
4,087 |
4,084 |
$117K |
| D8680 |
|
370 |
370 |
$63K |
| D0350 |
|
5,868 |
5,866 |
$57K |
| D9995 |
|
199 |
199 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
174 |
174 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
199 |
199 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
273 |
273 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
273 |
273 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
71 |
71 |
$1K |
| D1999 |
|
1,617 |
1,608 |
$0.00 |