RAKSTANG, JONATHAN
NPI: 1366772287
· BURBANK, IL 60459
· Dentist
· NPI assigned 12/29/2009
$799K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
917 |
$177K |
| 2022 |
2,206 |
$449K |
| 2023 |
1,006 |
$166K |
| 2024 |
37 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
2,494 |
2,459 |
$593K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
151 |
150 |
$134K |
| D8999 |
|
1,383 |
1,374 |
$57K |
| D8660 |
|
126 |
126 |
$12K |
| D8680 |
|
12 |
12 |
$2K |