PUTRUS, RAPHAEL
NPI: 1457899429
· WARREN, MI 48092
· Dentist
· NPI assigned 02/09/2017
$576K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,361 |
$541K |
| 2019 |
193 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
2,180 |
1,997 |
$467K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
106 |
100 |
$94K |
| D8999 |
|
211 |
202 |
$9K |
| D8660 |
|
32 |
32 |
$3K |
| D8680 |
|
25 |
20 |
$3K |