Medicaid Provider Spending

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

NPI: 1700579489 · GREENSBORO, NC 27401 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/30/2023

$2.22M
Total Medicaid Paid
13,948
Total Claims
13,662
Beneficiaries
7
Codes Billed
2023-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLONABOCKER, CASEY (VP OPERATIONS & STRATEGY)
Parent OrganizationMANENTE NC PC
NPI Enumeration Date05/30/2023

Related Entities

Other providers sharing the same authorized official: LONABOCKER, CASEY

ProviderCityStateTotal Paid
MYORTHOS CONNECTICUT ORTHODONTICS PC BRIDGEPORT CT $4.58M
MANENTE NC, PC GREENSBORO NC $398K
MYORTHOS DELAWARE ORTHODONTICS PA WILMINGTON DE $152K
MYORTHOS VIRGINIA ORTHODONTICS, PC CHESAPEAKE VA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 2,746 $439K
2024 11,202 $1.78M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 9,443 9,274 $912K
D8680 562 556 $580K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 704 692 $567K
D0330 Panoramic radiographic image 809 785 $47K
D0340 809 785 $41K
D0150 Comprehensive oral evaluation - new or established patient 814 785 $36K
D0470 807 785 $34K