HANNON, PLLC
NPI: 1841925898
· GASTONIA, NC 28054
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/22/2022
$233K
Total Medicaid Paid
Provider Details
| Authorized Official | LONDON, LEEANNA (PRACTICE MANAGER) |
| NPI Enumeration Date | 07/22/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,002 |
$80K |
| 2024 |
2,045 |
$153K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,727 |
1,688 |
$165K |
| D0330 |
Panoramic radiographic image |
330 |
303 |
$18K |
| D0340 |
|
314 |
293 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
341 |
321 |
$14K |
| D0470 |
|
316 |
295 |
$12K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
19 |
13 |
$10K |