CLINTON BRACES
NPI: 1497312771
· CLINTON, MD 20735
· Dental Clinic/Center
· NPI assigned 05/22/2019
$3.65M
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, TRAM (ORTHODONTIST) |
| NPI Enumeration Date | 05/22/2019 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, TRAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
599 |
$79K |
| 2020 |
3,021 |
$537K |
| 2021 |
5,357 |
$937K |
| 2022 |
5,306 |
$841K |
| 2023 |
4,811 |
$744K |
| 2024 |
3,599 |
$515K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,288 |
1,261 |
$1.49M |
| D8090 |
|
988 |
975 |
$882K |
| D8670 |
Periodic orthodontic treatment visit |
12,564 |
12,214 |
$699K |
| D8660 |
|
2,736 |
2,688 |
$343K |
| D0330 |
Panoramic radiographic image |
3,187 |
3,123 |
$139K |
| D0140 |
Limited oral evaluation - problem focused |
1,743 |
1,669 |
$80K |
| D8220 |
|
14 |
14 |
$7K |
| D9310 |
|
85 |
85 |
$5K |
| D8703 |
|
14 |
14 |
$2K |
| D8704 |
|
12 |
12 |
$2K |
| D0350 |
|
22 |
18 |
$1K |
| D1330 |
|
40 |
40 |
$240.00 |