Dental
Northeast Orthodontic Associates. L.L.C.
Northeast Orthodontic Associates. L.L.C. was paid $30K by Medicaid between Sep 2021 and Sep 2024, across 3 billing codes. Its largest line is D8080, Comprehensive orthodontic treatment of the adolescent dentition — 50% of everything it billed.
33Billing provider infoNORTHEAST ORTHODONTIC ASSOCIATES. L.L.C.
WATERTOWN, SD 57201
WATERTOWN, SD 57201
33aNPI1831382134assigned 08/21/2007
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$30K
24GClaims36
24DCodes billed3
24AFirst – last monthSep 2021 – Sep 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 12 | $805.00 | |
| 2022 | 12 | $15K | |
| 2024incomplete | 12 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 50% | 12 | 12 | $15K |
| D8670 | Periodic orthodontic treatment visit | 47% | 12 | 12 | $14K |
| D0330 | Panoramic radiographic image | 2.7% | 12 | 12 | $805.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVAN LAECKEN, RYAN (OWNER)