CLASS ONE ORTHODONTIC ASSO LLC
NPI: 1407908213
· WORCESTER, MA 01606
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 01/18/2007
$1.50M
Total Medicaid Paid
Provider Details
| Authorized Official | FADIANI, FAEZE (OWNER) |
| NPI Enumeration Date | 01/18/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,706 |
$236K |
| 2019 |
1,806 |
$275K |
| 2020 |
1,612 |
$220K |
| 2021 |
984 |
$148K |
| 2022 |
1,187 |
$195K |
| 2023 |
1,167 |
$216K |
| 2024 |
1,096 |
$208K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
5,128 |
4,718 |
$1.22M |
| D8680 |
|
928 |
210 |
$76K |
| D0210 |
Intraoral - complete series of radiographic images |
835 |
816 |
$63K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
43 |
39 |
$48K |
| D9110 |
|
355 |
327 |
$25K |
| D9310 |
|
465 |
438 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
401 |
397 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
685 |
327 |
$10K |
| D0272 |
Bitewings - two radiographic images |
335 |
325 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
341 |
327 |
$6K |
| D8690 |
|
12 |
12 |
$1K |
| D8660 |
|
12 |
12 |
$690.00 |
| D0340 |
|
18 |
17 |
$0.00 |