WENTZ ORTHODONTICS
NPI: 1598101628
· FAIRBANKS, AK 99709
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/15/2013
$485K
Total Medicaid Paid
Provider Details
| Authorized Official | WENTZ, NATALIE (BUSINESS MANAGER) |
| NPI Enumeration Date | 05/15/2013 |
Related Entities
Other providers sharing the same authorized official: WENTZ, NATALIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
258 |
$130K |
| 2019 |
33 |
$32K |
| 2020 |
24 |
$24K |
| 2021 |
60 |
$20K |
| 2022 |
144 |
$134K |
| 2023 |
123 |
$70K |
| 2024 |
74 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
522 |
389 |
$476K |
| D0340 |
|
98 |
75 |
$6K |
| D0470 |
|
96 |
74 |
$3K |