MYSTIC VALLEY ORTHODONTICS
NPI: 1679744668
· MEDFORD, MA 02155
· 1223X0400X
$1.71M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,385 |
$272K |
| 2020 |
1,417 |
$267K |
| 2021 |
1,602 |
$297K |
| 2022 |
1,583 |
$295K |
| 2023 |
1,449 |
$307K |
| 2024 |
1,370 |
$270K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
|
5,906 |
5,430 |
$1.41M |
| D8680 |
|
2,640 |
1,946 |
$219K |
| D8080 |
|
50 |
50 |
$60K |
| D9310 |
|
166 |
142 |
$8K |
| D8690 |
|
31 |
28 |
$3K |
| D8660 |
|
13 |
13 |
$2K |