PALAISA, JACQUELINE
NPI: 1306825484
· FROSTBURG, MD 21532
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 01/17/2006
$2.47M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,679 |
$127K |
| 2019 |
2,212 |
$181K |
| 2020 |
3,054 |
$330K |
| 2021 |
3,423 |
$424K |
| 2022 |
4,118 |
$436K |
| 2023 |
4,487 |
$565K |
| 2024 |
3,738 |
$407K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
599 |
567 |
$867K |
| D8670 |
Periodic orthodontic treatment visit |
9,720 |
9,250 |
$715K |
| D8090 |
|
62 |
60 |
$188K |
| D8680 |
|
1,063 |
494 |
$184K |
| D0140 |
Limited oral evaluation - problem focused |
4,340 |
3,962 |
$159K |
| D8660 |
|
972 |
954 |
$141K |
| D0340 |
|
1,674 |
1,503 |
$93K |
| D0330 |
Panoramic radiographic image |
2,200 |
1,996 |
$71K |
| D0470 |
|
1,038 |
919 |
$35K |
| D0350 |
|
1,043 |
924 |
$19K |