RICHARD L. BOTZBACH II DENTAL CORPORATION
NPI: 1467775122
· ALISO VIEJO, CA 92656
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/10/2010
$286K
Total Medicaid Paid
Provider Details
| Authorized Official | BOTZBACH, RICHARD (OWNER, PRESIDENT) |
| NPI Enumeration Date | 03/10/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
453 |
$44K |
| 2019 |
277 |
$39K |
| 2020 |
225 |
$27K |
| 2021 |
219 |
$27K |
| 2022 |
568 |
$54K |
| 2023 |
379 |
$55K |
| 2024 |
174 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
799 |
799 |
$230K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
277 |
275 |
$17K |
| D0330 |
Panoramic radiographic image |
594 |
588 |
$15K |
| D0140 |
Limited oral evaluation - problem focused |
351 |
349 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
108 |
108 |
$7K |
| D9430 |
|
134 |
134 |
$4K |
| D0340 |
|
20 |
19 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$384.00 |