NPI: 1720016736
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,001 | $161K |
| 2019 | 2,180 | $241K |
| 2020 | 1,273 | $124K |
| 2021 | 1,347 | $141K |
| 2022 | 226 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 6,065 | 5,903 | $576K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 59 | 57 | $49K |
| D8680 | 29 | 27 | $17K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 271 | 260 | $11K |
| D8070 | 119 | 106 | $11K | |
| D0330 | Panoramic radiographic image | 157 | 145 | $8K |
| D0340 | 156 | 145 | $8K | |
| D0470 | 171 | 156 | $7K |