Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › GREENSBORO › MANENTE NC, PC

MANENTE NC, PC

NPI: 1255022869 · GREENSBORO, NC 27408 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/16/2023

$398K
Total Medicaid Paid
2,868
Total Claims
2,806
Beneficiaries
6
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLONABOCKER, CASEY (VP OPERATIONS & STRATEGY)
Parent OrganizationMANENTE NC, PC
NPI Enumeration Date05/16/2023

Related Entities

Other providers sharing the same authorized official: LONABOCKER, CASEY

ProviderCityStateTotal Paid
MYORTHOS CONNECTICUT ORTHODONTICS PC BRIDGEPORT CT $4.58M
MANENTE NC, PC GREENSBORO NC $2.22M
MYORTHOS DELAWARE ORTHODONTICS PA WILMINGTON DE $152K
MYORTHOS VIRGINIA ORTHODONTICS, PC CHESAPEAKE VA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 865 $140K
2024 2,003 $258K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 232 231 $195K
D8670 Periodic orthodontic treatment visit 1,484 1,475 $147K
D0330 Panoramic radiographic image 288 275 $17K
D0340 288 275 $15K
D0150 Comprehensive oral evaluation - new or established patient 288 275 $13K
D0470 288 275 $12K