ESCONDIDO VALLEY BRACES
NPI: 1245702273
· ESCONDIDO, CA 92025
· Dental Clinic/Center
· NPI assigned 01/02/2019
$487K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: LUTHER, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
140 |
$5K |
| 2020 |
799 |
$88K |
| 2021 |
931 |
$137K |
| 2022 |
437 |
$111K |
| 2023 |
374 |
$94K |
| 2024 |
176 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
1,493 |
1,487 |
$429K |
| D0140 |
Limited oral evaluation - problem focused |
650 |
648 |
$23K |
| D0330 |
Panoramic radiographic image |
662 |
662 |
$20K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
13 |
13 |
$13K |
| D0470 |
|
13 |
13 |
$937.50 |
| D0340 |
|
13 |
13 |
$625.00 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$600.00 |