CT BRACES BRIDGEPORT ORTHODONTICS PC
NPI: 1588048748
· BRIDGEPORT, CT 06606
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/16/2015
$1.79M
Total Medicaid Paid
Provider Details
| Authorized Official | DESAI, SHYAM (OWNER/ORTHODONTIST) |
| NPI Enumeration Date | 07/16/2015 |
Related Entities
Other providers sharing the same authorized official: DESAI, SHYAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
9,215 |
$760K |
| 2019 |
6,938 |
$537K |
| 2020 |
5,155 |
$391K |
| 2021 |
1,870 |
$105K |
| 2022 |
478 |
$0.00 |
| 2023 |
449 |
$0.00 |
| 2024 |
481 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
21,782 |
21,258 |
$1.48M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
330 |
316 |
$187K |
| D8660 |
|
1,767 |
1,721 |
$56K |
| D0470 |
|
326 |
323 |
$29K |
| D8692 |
|
134 |
96 |
$25K |
| D0330 |
Panoramic radiographic image |
247 |
244 |
$14K |