MYORTHOS CONNECTICUT ORTHODONTICS PC
NPI: 1316571425
· BRIDGEPORT, CT 06606
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 02/27/2020
$4.58M
Total Medicaid Paid
Provider Details
| Authorized Official | LONABOCKER, CASEY (VP OPERATIONS & STRATEGY) |
| Parent Organization | MYORTHOS CONNECTICUT ORTHODONTICS PC |
| NPI Enumeration Date | 02/27/2020 |
Related Entities
Other providers sharing the same authorized official: LONABOCKER, CASEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
8,336 |
$758K |
| 2022 |
12,692 |
$1.16M |
| 2023 |
14,184 |
$1.32M |
| 2024 |
15,580 |
$1.34M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
40,298 |
39,328 |
$3.23M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,643 |
1,586 |
$897K |
| D8660 |
|
6,062 |
5,863 |
$190K |
| D0470 |
|
1,745 |
1,741 |
$164K |
| D0330 |
Panoramic radiographic image |
900 |
894 |
$63K |
| D8020 |
|
24 |
24 |
$16K |
| D8703 |
|
59 |
58 |
$12K |
| D8704 |
|
45 |
44 |
$9K |
| D8999 |
|
16 |
16 |
$2K |