KUSNOTO, BUDI
NPI: 1447349618
· CHICAGO, IL 60608
· Dentist
· NPI assigned 10/12/2006
$3.91M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,976 |
$875K |
| 2019 |
4,894 |
$782K |
| 2020 |
3,079 |
$447K |
| 2021 |
4,064 |
$575K |
| 2022 |
2,933 |
$457K |
| 2023 |
2,393 |
$384K |
| 2024 |
1,966 |
$388K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
21,291 |
19,207 |
$3.12M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
695 |
652 |
$593K |
| D8660 |
|
1,691 |
1,598 |
$104K |
| D8680 |
|
613 |
585 |
$89K |
| D8999 |
|
15 |
15 |
$564.60 |