MINNESOTA ORTHODONTICS
NPI: 1578505152
· WOODBURY, MN 55129
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/11/2006
$1.75M
Total Medicaid Paid
Provider Details
| Authorized Official | BLEVINS, REGINA (OWNER/PRESIDENT) |
| NPI Enumeration Date | 06/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
7,864 |
$746K |
| 2019 |
284 |
$948K |
| 2020 |
138 |
$20K |
| 2021 |
132 |
$19K |
| 2022 |
99 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,237 |
1,209 |
$1.58M |
| D8090 |
|
15 |
15 |
$51K |
| D8670 |
Periodic orthodontic treatment visit |
270 |
270 |
$39K |
| D0340 |
|
1,707 |
1,707 |
$18K |
| D8060 |
|
71 |
71 |
$18K |
| D0330 |
Panoramic radiographic image |
1,709 |
1,709 |
$17K |
| D0350 |
|
1,713 |
1,713 |
$13K |
| D0470 |
|
1,710 |
1,710 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
68 |
$28.68 |
| D8660 |
|
17 |
17 |
$0.00 |