TC ORTHODONTICS RED WING
NPI: 1467799866
· RED WING, MN 55066
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 01/07/2013
$196K
Total Medicaid Paid
Provider Details
| Authorized Official | KELLY, CHAD (PRESIDENT) |
| NPI Enumeration Date | 01/07/2013 |
Related Entities
Other providers sharing the same authorized official: KELLY, CHAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
149 |
$28K |
| 2022 |
268 |
$54K |
| 2023 |
268 |
$57K |
| 2024 |
256 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
941 |
941 |
$196K |