MENDIETA, LLC
NPI: 1851686562
· COLUMBUS, OH 43204
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/10/2011
$1.62M
Total Medicaid Paid
Provider Details
| Authorized Official | MENDIETA, EDGAR (ORTHODONTIST) |
| NPI Enumeration Date | 06/10/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,530 |
$191K |
| 2019 |
1,734 |
$177K |
| 2020 |
2,870 |
$264K |
| 2021 |
3,459 |
$307K |
| 2022 |
2,196 |
$269K |
| 2023 |
1,742 |
$172K |
| 2024 |
1,260 |
$241K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
3,755 |
3,684 |
$1.09M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
175 |
163 |
$168K |
| D0140 |
Limited oral evaluation - problem focused |
3,041 |
3,015 |
$74K |
| D8680 |
|
348 |
148 |
$66K |
| D0470 |
|
3,184 |
1,304 |
$62K |
| D0330 |
Panoramic radiographic image |
1,183 |
1,169 |
$59K |
| D0340 |
|
800 |
788 |
$50K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,300 |
1,288 |
$36K |
| D0350 |
|
978 |
956 |
$13K |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$260.00 |