NUTMEG ORTHODONTICS, LLC
NPI: 1598433971
· WINDSOR, CT 06095
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/01/2021
$554K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
84 |
$6K |
| 2022 |
1,187 |
$110K |
| 2023 |
2,309 |
$191K |
| 2024 |
3,038 |
$247K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
6,306 |
6,091 |
$503K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
59 |
59 |
$35K |
| D0470 |
|
110 |
109 |
$10K |
| D8660 |
|
119 |
119 |
$4K |
| D0330 |
Panoramic radiographic image |
24 |
24 |
$2K |