MBRACES LLC
NPI: 1871974014
· BRISTOL, CT 06010
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/12/2015
$1.11M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,664 |
$100K |
| 2019 |
2,762 |
$192K |
| 2020 |
2,550 |
$177K |
| 2021 |
2,536 |
$168K |
| 2022 |
2,380 |
$162K |
| 2023 |
2,323 |
$151K |
| 2024 |
2,391 |
$159K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
14,425 |
14,191 |
$1.02M |
| D8660 |
|
2,042 |
1,885 |
$57K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
25 |
25 |
$14K |
| D0470 |
|
84 |
83 |
$8K |
| D7997 |
|
18 |
12 |
$6K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$680.00 |