NICOLE POWELL, DDS, PLLC
NPI: 1679157853
· SEARCY, AR 72143
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/12/2021
$1.48M
Total Medicaid Paid
Provider Details
| Authorized Official | SPARKS, MELISSA (OFFICE MANAGER) |
| NPI Enumeration Date | 05/12/2021 |
Related Entities
Other providers sharing the same authorized official: SPARKS, MELISSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
907 |
$199K |
| 2022 |
2,100 |
$447K |
| 2023 |
2,024 |
$421K |
| 2024 |
1,087 |
$413K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,667 |
1,605 |
$946K |
| D8670 |
Periodic orthodontic treatment visit |
4,251 |
3,780 |
$429K |
| D8999 |
|
200 |
198 |
$105K |