BRAY ORTHODONTICS PLLC
NPI: 1861098899
· KALISPELL, MT 59901
· General Practice Dentistry
· NPI assigned 12/06/2020
$2.91M
Total Medicaid Paid
Provider Details
| Authorized Official | BRAY, KURTIS (PRESIDENT) |
| NPI Enumeration Date | 12/06/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,344 |
$190K |
| 2022 |
5,097 |
$710K |
| 2023 |
8,162 |
$1.03M |
| 2024 |
7,867 |
$983K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
499 |
392 |
$1.10M |
| D8670 |
Periodic orthodontic treatment visit |
9,664 |
8,329 |
$706K |
| D8070 |
|
183 |
143 |
$493K |
| D0340 |
|
2,736 |
2,490 |
$168K |
| D0330 |
Panoramic radiographic image |
3,181 |
2,873 |
$152K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,716 |
2,440 |
$117K |
| D0350 |
|
3,075 |
2,813 |
$94K |
| D8680 |
|
272 |
230 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
820 |
782 |
$24K |
| D8703 |
|
26 |
26 |
$5K |
| D0470 |
|
100 |
94 |
$4K |
| D1206 |
Topical application of fluoride varnish |
198 |
177 |
$3K |