CHACON, JOSE
NPI: 1649342064
· MAYFIELD HTS, OH 44124
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 11/14/2006
$1.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,607 |
$348K |
| 2019 |
2,393 |
$377K |
| 2020 |
1,151 |
$155K |
| 2021 |
932 |
$143K |
| 2022 |
982 |
$137K |
| 2023 |
846 |
$113K |
| 2024 |
318 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
4,629 |
4,446 |
$1.09M |
| D9110 |
|
2,026 |
1,924 |
$111K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
86 |
84 |
$76K |
| D8680 |
|
197 |
194 |
$29K |
| D8999 |
|
488 |
475 |
$20K |
| D8660 |
|
89 |
83 |
$8K |
| D0330 |
Panoramic radiographic image |
388 |
372 |
$7K |
| D9310 |
|
314 |
300 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$252.60 |