THE BRACE PLACE PLLP
NPI: 1366847600
· KALISPELL, MT 59901
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/29/2014
$3.48M
Total Medicaid Paid
Provider Details
| Authorized Official | MASON, CHARLES (PARTNER) |
| NPI Enumeration Date | 10/29/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,672 |
$952K |
| 2019 |
8,128 |
$835K |
| 2020 |
7,944 |
$753K |
| 2021 |
5,845 |
$509K |
| 2022 |
3,353 |
$271K |
| 2023 |
1,968 |
$119K |
| 2024 |
506 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
23,353 |
19,302 |
$1.63M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
679 |
500 |
$1.26M |
| D8680 |
|
1,007 |
866 |
$224K |
| D0330 |
Panoramic radiographic image |
3,510 |
3,052 |
$149K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,585 |
2,295 |
$73K |
| D0340 |
|
1,114 |
982 |
$60K |
| D0350 |
|
1,986 |
1,706 |
$52K |
| D1206 |
Topical application of fluoride varnish |
1,649 |
1,384 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
508 |
456 |
$10K |
| D8704 |
|
13 |
13 |
$2K |
| D8703 |
|
12 |
12 |
$2K |