ORTHODONTIC CARE OF WA
NPI: 1679626345
· TACOMA, WA 98409
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 01/18/2007
$450K
Total Medicaid Paid
Provider Details
| Authorized Official | BUSH, HECTOR (OWNER) |
| NPI Enumeration Date | 01/18/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$647.70 |
| 2019 |
31 |
$7K |
| 2020 |
802 |
$141K |
| 2021 |
451 |
$117K |
| 2022 |
539 |
$97K |
| 2023 |
339 |
$55K |
| 2024 |
135 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
982 |
860 |
$283K |
| D8670 |
Periodic orthodontic treatment visit |
608 |
578 |
$130K |
| D7240 |
Removal of impacted tooth - completely bony |
116 |
40 |
$18K |
| D8030 |
|
28 |
27 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
229 |
218 |
$5K |
| D0160 |
|
103 |
102 |
$4K |
| D1999 |
|
246 |
234 |
$3K |