NPI: 1710327119 · PLEASANT PRAIRIE, WI 53158 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 06/28/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 65 | $3K |
| 2024 | 1,483 | $263K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 76 | 76 | $114K |
| D8670 | Periodic orthodontic treatment visit | 713 | 703 | $112K |
| D8660 | 155 | 151 | $13K | |
| D0330 | Panoramic radiographic image | 151 | 151 | $8K |
| D0470 | 151 | 151 | $7K | |
| D0340 | 152 | 152 | $6K | |
| D0350 | 150 | 149 | $5K |