BRIDGEPORT BRACES, LLC
NPI: 1881048080
· BRIDGEPORT, CT 06606
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 04/14/2016
$2.61M
Total Medicaid Paid
Provider Details
| Authorized Official | PENA, HECTOR (OWNER) |
| NPI Enumeration Date | 04/14/2016 |
Related Entities
Other providers sharing the same authorized official: PENA, HECTOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,423 |
$87K |
| 2019 |
2,745 |
$219K |
| 2020 |
3,766 |
$316K |
| 2021 |
4,403 |
$352K |
| 2022 |
5,225 |
$486K |
| 2023 |
6,273 |
$570K |
| 2024 |
7,212 |
$583K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
24,604 |
24,112 |
$1.95M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
741 |
725 |
$425K |
| D8660 |
|
4,310 |
4,122 |
$130K |
| D0470 |
|
950 |
920 |
$86K |
| D0330 |
Panoramic radiographic image |
367 |
359 |
$21K |
| D9310 |
|
75 |
74 |
$2K |