NPI: 1316051469 · OMAHA, NE 68164 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 08/18/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 475 | $44K |
| 2019 | 388 | $12K |
| 2020 | 195 | $51K |
| 2021 | 140 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 31 | 27 | $87K |
| D8090 | 12 | 12 | $32K | |
| D0330 | Panoramic radiographic image | 383 | 370 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 381 | 368 | $8K |
| D0340 | 157 | 144 | $6K | |
| D0470 | 143 | 131 | $4K | |
| D8697 | 48 | 25 | $1K | |
| D8696 | 43 | 29 | $950.00 |