ELITE ORTHODONTICS, LLC
NPI: 1396051439
· DEDHAM, MA 02026
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/26/2010
$1.05M
Total Medicaid Paid
Provider Details
| Authorized Official | ABDALLAH, EMAD (MANAGER) |
| NPI Enumeration Date | 08/26/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
622 |
$110K |
| 2019 |
625 |
$123K |
| 2020 |
636 |
$120K |
| 2021 |
778 |
$159K |
| 2022 |
808 |
$163K |
| 2023 |
956 |
$187K |
| 2024 |
942 |
$187K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
2,492 |
2,419 |
$655K |
| D9945 |
|
795 |
785 |
$235K |
| D9941 |
|
1,536 |
1,513 |
$125K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
373 |
372 |
$22K |
| D8680 |
|
88 |
25 |
$8K |
| D0330 |
Panoramic radiographic image |
30 |
30 |
$2K |
| D9310 |
|
38 |
38 |
$2K |
| D8660 |
|
15 |
13 |
$403.00 |