LADD ORTHODONTICS OF LOGANSPORT, LLC
NPI: 1669912234
· LOGANSPORT, IN 46947
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/02/2017
$471.32
Total Medicaid Paid
Provider Details
| Authorized Official | LADD, MARY (CEO) |
| NPI Enumeration Date | 03/02/2017 |
Related Entities
Other providers sharing the same authorized official: LADD, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
523 |
$432.76 |
| 2019 |
129 |
$38.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130 |
124 |
$471.32 |
| 3008F |
|
270 |
240 |
$0.00 |
| 1036F |
|
74 |
67 |
$0.00 |
| 3512F |
|
16 |
16 |
$0.00 |
| 3514F |
|
16 |
16 |
$0.00 |
| 3511F |
|
17 |
17 |
$0.00 |
| 3725F |
|
113 |
103 |
$0.00 |
| 3513F |
|
16 |
16 |
$0.00 |