WEST NEW BROOK ORTHODONTISTS
NPI: 1811066137
· WAUKESHA, WI 53186
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 11/08/2006
$302K
Total Medicaid Paid
Provider Details
| Authorized Official | PINCSAK, JOHN (PRESIDENT) |
| NPI Enumeration Date | 11/08/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
815 |
$39K |
| 2019 |
692 |
$33K |
| 2020 |
787 |
$38K |
| 2021 |
704 |
$47K |
| 2022 |
698 |
$52K |
| 2023 |
540 |
$41K |
| 2024 |
516 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
4,683 |
3,940 |
$300K |
| D0330 |
Panoramic radiographic image |
69 |
55 |
$3K |