NPI: 1821420720 · CASPER, WY 82601 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 08/01/2013
| Authorized Official | ERICKSON, KOLTON (PRESIDENT) |
| NPI Enumeration Date | 08/01/2013 |
Other providers sharing the same authorized official: ERICKSON, KOLTON
| Provider | City | State | Total Paid |
|---|---|---|---|
| RED DIRT ORTHODONTICS PLLC | OKLAHOMA CITY | OK | $3.86M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 309 | $54K |
| 2019 | 64 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 373 | 367 | $65K |