SPARK ORTHODONTICS, P.C.
NPI: 1881924140
· BETHLEHEM, PA 18018
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 01/10/2010
$7.49M
Total Medicaid Paid
Provider Details
| Authorized Official | HARTMAN, JASON (PRESIDENT/ORTHODONTIST) |
| NPI Enumeration Date | 01/10/2010 |
Related Entities
Other providers sharing the same authorized official: HARTMAN, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
129 |
$64K |
| 2022 |
242 |
$92K |
| 2023 |
1,129 |
$445K |
| 2024 |
26,338 |
$6.89M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
19,620 |
19,249 |
$4.75M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,499 |
1,479 |
$2.22M |
| D8660 |
|
2,613 |
2,584 |
$396K |
| D0120 |
Periodic oral evaluation - established patient |
1,175 |
1,152 |
$33K |
| D8680 |
|
139 |
138 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,144 |
1,130 |
$27K |
| D1120 |
Prophylaxis - child |
708 |
693 |
$25K |
| D1110 |
Prophylaxis - adult |
98 |
98 |
$5K |
| D0272 |
Bitewings - two radiographic images |
194 |
193 |
$4K |
| D0274 |
Bitewings - four radiographic images |
61 |
61 |
$2K |
| D1330 |
|
190 |
188 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
25 |
24 |
$1K |
| D0603 |
|
41 |
40 |
$410.00 |
| D0602 |
|
34 |
28 |
$340.00 |
| D8999 |
|
297 |
297 |
$0.00 |