ORTHODONTIC SPECIALISTS OF SHAWNEE
NPI: 1275921769
· SHAWNEE, OK 74804
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 01/06/2015
$1.16M
Total Medicaid Paid
Provider Details
| Authorized Official | BEHRMANN, MICHAEL (MENAGER) |
| Parent Organization | ORTHODONTIC SPECIALISTS OF OKLAHOMA |
| NPI Enumeration Date | 01/06/2015 |
Related Entities
Other providers sharing the same authorized official: BEHRMANN, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
144 |
$81K |
| 2022 |
1,003 |
$428K |
| 2023 |
1,221 |
$534K |
| 2024 |
148 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
906 |
905 |
$1.09M |
| D9310 |
|
807 |
804 |
$39K |
| D0340 |
|
390 |
388 |
$24K |
| D0350 |
|
400 |
400 |
$12K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$634.01 |