TANGELO ORTHODONTICS, PLLC
NPI: 1598433278
· TULSA, OK 74137
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/30/2021
$907K
Total Medicaid Paid
Provider Details
| Authorized Official | HALL, MATTHEW (OWNER) |
| NPI Enumeration Date | 08/30/2021 |
Related Entities
Other providers sharing the same authorized official: HALL, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
368 |
$286K |
| 2023 |
1,247 |
$352K |
| 2024 |
892 |
$269K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
711 |
699 |
$820K |
| D9310 |
|
1,570 |
1,506 |
$76K |
| D0340 |
|
114 |
114 |
$7K |
| D0470 |
|
112 |
112 |
$4K |