ORTHODONTIC EXPERTS OF WISCONSIN, LLC
NPI: 1790497147
· MENOMONEE FALLS, WI 53051
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 12/16/2022
$778K
Total Medicaid Paid
Provider Details
| Authorized Official | BZDAL, MONIKA (VP) |
| Parent Organization | ORTHODONTIC EXPERTS OF WISCONSIN, LLC |
| NPI Enumeration Date | 12/16/2022 |
Related Entities
Other providers sharing the same authorized official: BZDAL, MONIKA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
1,038 |
$145K |
| 2024 |
3,253 |
$633K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
2,390 |
2,335 |
$359K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
263 |
253 |
$328K |
| D8660 |
|
573 |
564 |
$46K |
| D0330 |
Panoramic radiographic image |
355 |
348 |
$19K |
| D0340 |
|
355 |
352 |
$15K |
| D0350 |
|
355 |
348 |
$11K |