BLUE WAVE ORTHO PARTNERS PLLC
NPI: 1437671195
· TAMPA, FL 33612
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/13/2017
$337K
Total Medicaid Paid
Provider Details
| Authorized Official | CALLAGHAN, SHARON (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 07/13/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
612 |
$42K |
| 2020 |
2,407 |
$167K |
| 2021 |
209 |
$16K |
| 2022 |
1,550 |
$97K |
| 2023 |
186 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
4,252 |
3,231 |
$303K |
| D8660 |
|
195 |
190 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
75 |
74 |
$11K |
| D9310 |
|
142 |
142 |
$5K |
| D0470 |
|
75 |
74 |
$0.00 |
| D0350 |
|
75 |
74 |
$0.00 |
| D0340 |
|
75 |
74 |
$0.00 |
| D0330 |
Panoramic radiographic image |
75 |
74 |
$0.00 |