NICHOLAS RAKLIOS, DDS, PLLC
NPI: 1487222725
· RENTON, WA 98055
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/14/2021
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | WIETH, CASSANDRA (PAYOR RELATIONS MANAGER) |
| NPI Enumeration Date | 06/14/2021 |
Related Entities
Other providers sharing the same authorized official: WIETH, CASSANDRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
37 |
$6K |
| 2023 |
773 |
$87K |
| 2024 |
684 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
584 |
573 |
$133K |
| D0330 |
Panoramic radiographic image |
497 |
484 |
$20K |
| D0160 |
|
413 |
400 |
$17K |