SANDER, DAVID
NPI: 1447482120
· WEST PLAINS, MO 65775
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/14/2009
$190K
Total Medicaid Paid
2,522
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,070 |
$85K |
| 2019 |
1,276 |
$85K |
| 2020 |
297 |
$20K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,865 |
1,758 |
$171K |
| D0140 |
Limited oral evaluation - problem focused |
580 |
567 |
$13K |
| D0330 |
Panoramic radiographic image |
128 |
128 |
$5K |
| D0350 |
|
35 |
35 |
$771.00 |
| D8660 |
|
35 |
34 |
$0.00 |