SUNDANCE ORTHODONTICS LLC
NPI: 1871902593
· FARMINGTON, NM 87402
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/06/2014
$192K
Total Medicaid Paid
Provider Details
| Authorized Official | HODGES, LISA (OPERATIONS DIRECTOR) |
| NPI Enumeration Date | 08/06/2014 |
Related Entities
Other providers sharing the same authorized official: HODGES, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
353 |
$33K |
| 2019 |
366 |
$37K |
| 2020 |
195 |
$20K |
| 2021 |
245 |
$25K |
| 2022 |
226 |
$23K |
| 2023 |
238 |
$24K |
| 2024 |
266 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8660 |
|
1,889 |
1,858 |
$192K |