ORTHODONTIC EXPERTS OF WISCONSIN, LLC
NPI: 1245834084
· BELOIT, WI 53511
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 11/23/2020
$4.36M
Total Medicaid Paid
Provider Details
| Authorized Official | BZDAL, MONIKA (DIRECTOR OF SUPPORT SERVICES) |
| NPI Enumeration Date | 11/23/2020 |
Related Entities
Other providers sharing the same authorized official: BZDAL, MONIKA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
1,992 |
$196K |
| 2022 |
5,318 |
$650K |
| 2023 |
9,572 |
$1.29M |
| 2024 |
12,777 |
$2.22M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
18,107 |
17,544 |
$2.34M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,329 |
1,283 |
$1.44M |
| D8660 |
|
3,000 |
2,953 |
$244K |
| D0330 |
Panoramic radiographic image |
2,440 |
2,406 |
$127K |
| D0340 |
|
2,335 |
2,299 |
$93K |
| D0350 |
|
2,329 |
2,298 |
$72K |
| D8680 |
|
119 |
114 |
$39K |