Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHAMPLAIN ORTHODONTIC ASSOCIATES

NPI: 1679684260 · BURLINGTON, VT 05401 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 08/31/2006

$93K
Total Medicaid Paid
3,171
Total Claims
3,001
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialSANDE, J. PETER (PRESIDENT)
NPI Enumeration Date08/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 520 $14K
2019 690 $17K
2020 478 $14K
2021 650 $20K
2022 457 $15K
2023 376 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0170 1,617 1,553 $49K
D0150 Comprehensive oral evaluation - new or established patient 604 578 $24K
D0120 Periodic oral evaluation - established patient 806 741 $13K
D0140 Limited oral evaluation - problem focused 83 73 $3K
D0330 Panoramic radiographic image 31 28 $2K
D0470 30 28 $1K