SHPORTKO, ANDRII
NPI: 1376903955
· DOBBS FERRY, NY 10522
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 02/25/2016
$704K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
472 |
$9K |
| 2019 |
163 |
$5K |
| 2020 |
80 |
$3K |
| 2021 |
1,391 |
$87K |
| 2022 |
3,282 |
$271K |
| 2023 |
3,471 |
$297K |
| 2024 |
521 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
2,523 |
2,518 |
$466K |
| D0340 |
|
1,120 |
1,120 |
$60K |
| D8660 |
|
1,863 |
1,862 |
$54K |
| D0330 |
Panoramic radiographic image |
1,051 |
1,051 |
$41K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
28 |
28 |
$25K |
| D0470 |
|
678 |
678 |
$21K |
| D0350 |
|
1,375 |
1,375 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
183 |
183 |
$8K |
| D1120 |
Prophylaxis - child |
130 |
130 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
159 |
159 |
$2K |
| D0272 |
Bitewings - two radiographic images |
94 |
94 |
$1K |
| D9310 |
|
13 |
13 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$238.60 |
| D1330 |
|
71 |
71 |
$0.00 |
| D0601 |
|
13 |
13 |
$0.00 |
| D0602 |
|
52 |
52 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |