VICKSBURG ORTHODONTICS LLC
NPI: 1619370012
· VICKSBURG, MS 39180
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/30/2014
$561K
Total Medicaid Paid
Provider Details
| Authorized Official | GARNER, LAKE (OWNER) |
| NPI Enumeration Date | 09/30/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
97 |
$5K |
| 2020 |
434 |
$28K |
| 2021 |
1,438 |
$124K |
| 2022 |
1,878 |
$182K |
| 2023 |
1,334 |
$120K |
| 2024 |
913 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
5,723 |
5,012 |
$546K |
| D0140 |
Limited oral evaluation - problem focused |
216 |
197 |
$8K |
| D0340 |
|
58 |
57 |
$3K |
| D9310 |
|
38 |
37 |
$2K |
| D0350 |
|
59 |
56 |
$2K |