NPI: 1730474511 · WEST ALLIS, WI 53227 · General Practice Dentistry · NPI assigned 06/09/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,040 | $4K |
| 2021 | 2,216 | $94K |
| 2022 | 1,453 | $148K |
| 2024 | 12 | $489.21 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 2,530 | 1,774 | $185K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 67 | 55 | $43K |
| D8660 | 308 | 187 | $9K | |
| D0470 | 267 | 155 | $3K | |
| D0330 | Panoramic radiographic image | 458 | 298 | $3K |
| D0350 | 454 | 292 | $2K | |
| D0340 | 350 | 213 | $537.09 | |
| D1999 | 275 | 110 | $0.00 | |
| D8999 | 12 | 12 | $0.00 |