MATTHEW C O'DELL, DDS, PLLC
NPI: 1558031773
· HURRICANE, WV 25526
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/18/2021
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | O'DELL, MATTHEW (ORTHODONTIST) |
| NPI Enumeration Date | 09/18/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,382 |
$171K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8090 |
|
38 |
37 |
$102K |
| D8680 |
|
118 |
54 |
$20K |
| D0340 |
|
218 |
202 |
$13K |
| D0330 |
Panoramic radiographic image |
231 |
215 |
$10K |
| D0470 |
|
234 |
208 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
167 |
159 |
$6K |
| D0350 |
|
238 |
212 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
102 |
95 |
$3K |
| D8704 |
|
18 |
13 |
$3K |
| D8703 |
|
18 |
13 |
$3K |