KRISTO, LTC
NPI: 1265891501
· WAUSAU, WI 54401
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 02/15/2016
$1.47M
Total Medicaid Paid
Provider Details
| Authorized Official | KRISTO, STEVEN (OWNER) |
| NPI Enumeration Date | 02/15/2016 |
Related Entities
Other providers sharing the same authorized official: KRISTO, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
3,449 |
$575K |
| 2024 |
4,711 |
$897K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
5,064 |
4,823 |
$809K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
300 |
299 |
$445K |
| D8660 |
|
693 |
689 |
$82K |
| D0330 |
Panoramic radiographic image |
694 |
690 |
$51K |
| D0340 |
|
698 |
694 |
$43K |
| D0350 |
|
698 |
694 |
$31K |
| D8020 |
|
13 |
13 |
$11K |