MSP ORTHODONTICS PLLC
NPI: 1649867334
· MINNEAPOLIS, MN 55402
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 12/29/2020
$784K
Total Medicaid Paid
Provider Details
| Authorized Official | BOWLBY, SCOTT (ORTHODONTIST/OWNER) |
| NPI Enumeration Date | 12/29/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
70 |
$11K |
| 2022 |
611 |
$109K |
| 2023 |
1,433 |
$329K |
| 2024 |
1,566 |
$335K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
2,366 |
2,366 |
$541K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
405 |
403 |
$174K |
| D0340 |
|
170 |
170 |
$19K |
| D0350 |
|
179 |
179 |
$16K |
| D0330 |
Panoramic radiographic image |
185 |
183 |
$15K |
| D0470 |
|
157 |
157 |
$12K |
| D8660 |
|
199 |
199 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
19 |
$506.54 |