NPI: 1629710009
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 3,615 | $573K |
| 2024 | 1,762 | $182K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 129 | 129 | $332K |
| D8660 | 828 | 805 | $121K | |
| D8670 | Periodic orthodontic treatment visit | 652 | 648 | $87K |
| D0340 | 817 | 794 | $50K | |
| D0330 | Panoramic radiographic image | 737 | 716 | $40K |
| D0470 | 759 | 738 | $38K | |
| D0350 | 933 | 909 | $31K | |
| D0160 | 399 | 398 | $30K | |
| D8680 | 96 | 96 | $23K | |
| D8999 | 13 | 13 | $2K | |
| D8704 | 14 | 14 | $2K |