Medicaid Provider Spending

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

ISON NOLL ORTHODONTICS LLC

NPI: 1689149320 · WEST CHESTER, OH 45069 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/09/2018

$2.46M
Total Medicaid Paid
21,552
Total Claims
21,057
Beneficiaries
8
Codes Billed
2020-05
First Month
2024-08
Last Month

Provider Details

Authorized OfficialISON, KEVIN (CO-OWNER)
NPI Enumeration Date10/09/2018

Related Entities

Other providers sharing the same authorized official: ISON, KEVIN

ProviderCityStateTotal Paid
GID ORTHODONTICS LLC LIBERTY TOWNSHIP OH $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,903 $216K
2021 4,831 $528K
2022 5,368 $641K
2023 6,314 $651K
2024 2,136 $426K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 4,673 4,666 $1.31M
D8080 Comprehensive orthodontic treatment of the adolescent dentition 635 635 $447K
D0340 3,523 3,494 $225K
D0330 Panoramic radiographic image 3,194 3,167 $158K
D8680 705 353 $138K
D0150 Comprehensive oral evaluation - new or established patient 3,224 3,197 $90K
D0470 2,096 2,070 $52K
D0350 3,502 3,475 $46K