WISEMAN, KEVIN
NPI: 1578861563
· CHICAGO, IL 60608
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/01/2011
$4.05M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,538 |
$926K |
| 2019 |
3,877 |
$971K |
| 2020 |
2,242 |
$557K |
| 2021 |
2,304 |
$526K |
| 2022 |
1,795 |
$434K |
| 2023 |
1,555 |
$367K |
| 2024 |
1,153 |
$273K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
14,188 |
13,743 |
$3.30M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
653 |
634 |
$575K |
| D8680 |
|
1,118 |
1,072 |
$161K |
| D8999 |
|
482 |
466 |
$20K |
| D0274 |
Bitewings - four radiographic images |
23 |
19 |
$388.70 |