MENDIETA, EDGAR
NPI: 1437458346
· COLUMBUS, OH 43204
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/17/2011
$3.26M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,369 |
$509K |
| 2019 |
7,577 |
$397K |
| 2020 |
5,893 |
$445K |
| 2021 |
5,900 |
$542K |
| 2022 |
3,285 |
$448K |
| 2023 |
3,264 |
$236K |
| 2024 |
5,306 |
$683K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
4,867 |
4,671 |
$1.35M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
617 |
596 |
$444K |
| D8030 |
|
3,631 |
3,545 |
$319K |
| D0340 |
|
3,519 |
3,402 |
$242K |
| D0330 |
Panoramic radiographic image |
4,526 |
4,385 |
$241K |
| D8680 |
|
911 |
430 |
$187K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,859 |
4,712 |
$146K |
| D0470 |
|
5,583 |
4,251 |
$139K |
| D0140 |
Limited oral evaluation - problem focused |
3,372 |
3,295 |
$84K |
| D0350 |
|
5,860 |
3,719 |
$66K |
| D1351 |
Sealant - per tooth |
1,455 |
435 |
$34K |
| D0272 |
Bitewings - two radiographic images |
369 |
359 |
$4K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$409.43 |
| D1120 |
Prophylaxis - child |
13 |
12 |
$229.32 |