NPI: 1841681525 · GREEN BAY, WI 54301 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 02/17/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,209 | $252K |
| 2023 | 994 | $181K |
| 2024 | 1,338 | $230K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 2,140 | 2,139 | $512K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 102 | 102 | $91K |
| D8999 | 872 | 872 | $41K | |
| D8660 | 94 | 94 | $9K | |
| D8680 | 28 | 28 | $4K | |
| D0330 | Panoramic radiographic image | 157 | 157 | $3K |
| D9310 | 148 | 148 | $3K |