SIMPLY ORTHODONTICS, NH, PC
NPI: 1396104857
· DERRY, NH 03038
· 1223X0400X
$400K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
51 |
$2K |
| 2019 |
105 |
$19K |
| 2020 |
149 |
$56K |
| 2021 |
147 |
$37K |
| 2022 |
265 |
$58K |
| 2023 |
215 |
$129K |
| 2024 |
186 |
$99K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
|
294 |
287 |
$358K |
| D0150 |
|
719 |
678 |
$41K |
| D0330 |
|
26 |
25 |
$347.94 |
| D0703 |
|
79 |
76 |
$0.00 |