FAMILY ORTHODONTICS
NPI: 1245553072
· TUSTIN, CA 92780
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/08/2010
$198K
Total Medicaid Paid
Provider Details
| Authorized Official | AZZEH, EZZ (ORTHODONTIST/OWNER) |
| NPI Enumeration Date | 03/08/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
407 |
$16K |
| 2019 |
1,034 |
$88K |
| 2020 |
870 |
$80K |
| 2021 |
218 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
200 |
200 |
$59K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
361 |
175 |
$42K |
| D7240 |
Removal of impacted tooth - completely bony |
145 |
64 |
$33K |
| D0330 |
Panoramic radiographic image |
1,055 |
1,055 |
$31K |
| D0140 |
Limited oral evaluation - problem focused |
665 |
664 |
$23K |
| D7230 |
|
43 |
25 |
$8K |
| D9430 |
|
60 |
60 |
$2K |