MOUNTAINEER ORTHODONTICS, PLLC
NPI: 1356560346
· BRIDGEPORT, WV 26330
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 04/25/2007
Provider Details
| Authorized Official | HAZEY, MICHAEL (OWNER) |
| NPI Enumeration Date | 04/25/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
64 |
$2K |
| 2022 |
195 |
$7K |
| 2023 |
187 |
$7K |
| 2024 |
203 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0340 |
|
135 |
124 |
$8K |
| D0470 |
|
135 |
124 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
122 |
111 |
$4K |
| D0330 |
Panoramic radiographic image |
106 |
95 |
$3K |
| D0350 |
|
138 |
126 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$448.06 |