ALYSSA SPROWL DDS MS PLLC
NPI: 1689222689
· CHARLOTTE, NC 28212
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/03/2019
$2.40M
Total Medicaid Paid
Provider Details
| Authorized Official | SPROWL, ALYSSA (OWNER) |
| NPI Enumeration Date | 09/03/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,188 |
$109K |
| 2021 |
3,419 |
$410K |
| 2022 |
4,576 |
$476K |
| 2023 |
6,187 |
$628K |
| 2024 |
6,981 |
$782K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
14,233 |
13,648 |
$1.30M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
955 |
919 |
$768K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,542 |
2,427 |
$106K |
| D0330 |
Panoramic radiographic image |
1,585 |
1,468 |
$89K |
| D0340 |
|
1,529 |
1,437 |
$77K |
| D0470 |
|
1,507 |
1,426 |
$62K |