FRAMIGHAM ORTHODONTICS PC
NPI: 1619497955
· FRAMINGHAM, MA 01702
· Pediatric Dentist
· NPI assigned 06/27/2017
$173K
Total Medicaid Paid
Provider Details
| Authorized Official | BALOUL, KAMAR (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 06/27/2017 |
Related Entities
Other providers sharing the same authorized official: BALOUL, KAMAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
429 |
$64K |
| 2019 |
592 |
$104K |
| 2020 |
24 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
741 |
703 |
$165K |
| D8660 |
|
228 |
224 |
$6K |
| D0330 |
Panoramic radiographic image |
64 |
63 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$348.00 |