NPI: 1346335486
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,278 | $823K |
| 2019 | 6,158 | $784K |
| 2020 | 4,794 | $583K |
| 2021 | 3,567 | $436K |
| 2022 | 1,706 | $195K |
| 2023 | 128 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 23,442 | 18,903 | $2.13M |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 624 | 523 | $580K |
| D0140 | Limited oral evaluation - problem focused | 2,409 | 1,880 | $63K |
| D9310 | 607 | 574 | $30K | |
| D0330 | Panoramic radiographic image | 373 | 363 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 125 | 119 | $4K |
| D7960 | 15 | 14 | $2K | |
| D8704 | 12 | 12 | $2K | |
| D0340 | 12 | 12 | $646.36 | |
| D0350 | 12 | 12 | $307.82 |