HERTAN, EVAN
NPI: 1457731432
· WEST NEW YORK, NJ 07093
· General Practice Dentistry
· NPI assigned 06/04/2015
$273K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
170 |
$12K |
| 2023 |
644 |
$100K |
| 2024 |
1,228 |
$161K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
160 |
157 |
$136K |
| D8670 |
Periodic orthodontic treatment visit |
1,682 |
1,619 |
$128K |
| D8660 |
|
166 |
161 |
$9K |
| D9310 |
|
34 |
30 |
$55.00 |