SIU, HARRISON
NPI: 1891162780
· ROCHESTER, NY 14620
· Student in an Organized Health Care Education/Training Program
· NPI assigned 08/26/2015
$2.06M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
733 |
$56K |
| 2022 |
3,225 |
$484K |
| 2023 |
5,833 |
$1.04M |
| 2024 |
3,160 |
$483K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
8,674 |
8,527 |
$1.33M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
421 |
421 |
$533K |
| D8660 |
|
964 |
955 |
$78K |
| D0330 |
Panoramic radiographic image |
964 |
955 |
$52K |
| D0340 |
|
964 |
955 |
$40K |
| D0350 |
|
964 |
955 |
$31K |