LEWIS COUNTY ORTHODONTICS
NPI: 1831865583
· MONROE, NY 10950
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/20/2021
$238K
Total Medicaid Paid
Provider Details
| Authorized Official | WILEY, KARMIE (FINANCIAL COORDINATOR) |
| NPI Enumeration Date | 08/20/2021 |
Related Entities
Other providers sharing the same authorized official: WILEY, KARMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
302 |
$40K |
| 2023 |
927 |
$58K |
| 2024 |
1,999 |
$140K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
703 |
702 |
$163K |
| D0330 |
Panoramic radiographic image |
544 |
543 |
$18K |
| D0340 |
|
371 |
371 |
$17K |
| D8660 |
|
584 |
583 |
$17K |
| D0470 |
|
467 |
467 |
$14K |
| D0350 |
|
530 |
529 |
$6K |
| D9310 |
|
29 |
29 |
$2K |