SIMPLY ORTHODONTICS OF MARLBOROUGH, PLLC
NPI: 1417436080
· MARLBOROUGH, MA 01752
· Dental Clinic/Center
· NPI assigned 08/14/2018
$162K
Total Medicaid Paid
Provider Details
| Authorized Official | HODGERNEY, AIMEE (OPERATIONS MANAGER) |
| NPI Enumeration Date | 08/14/2018 |
Related Entities
Other providers sharing the same authorized official: HODGERNEY, AIMEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
21 |
$2K |
| 2019 |
39 |
$4K |
| 2020 |
17 |
$3K |
| 2021 |
85 |
$22K |
| 2022 |
205 |
$57K |
| 2023 |
253 |
$64K |
| 2024 |
36 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
592 |
570 |
$158K |
| D8660 |
|
24 |
24 |
$2K |
| D9310 |
|
26 |
26 |
$2K |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$264.00 |