T KOEN ORTHODONTICS PLLC
NPI: 1639386501
· HENDERSONVILLE, TN 37075
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/17/2007
$119K
Total Medicaid Paid
1,206
Beneficiary Records
Provider Details
| Authorized Official | KOEN, TOMMY (OWNER) |
| NPI Enumeration Date | 05/17/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
250 |
$22K |
| 2022 |
387 |
$36K |
| 2023 |
349 |
$33K |
| 2024 |
271 |
$27K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,257 |
1,206 |
$119K |