Dental
Great River Orthodontic Specialists, SC
Great River Orthodontic Specialists, SC was paid $409K by Medicaid between Apr 2023 and Dec 2024, across 6 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 83% of everything it billed.
33Billing provider infoGREAT RIVER ORTHODONTIC SPECIALISTS, SC
HUDSON, WI 54016
HUDSON, WI 54016
33aNPI1891442174assigned 03/07/2022
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$409K
24GClaims2,302
24DCodes billed6
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Wisconsin
Rank by total paid#21 of 40
Median peer was paid$409K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 743 | $97K | |
| 2024incomplete | 1,559 | $312K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 83% | 1,636 | 1,634 | $340K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 5.3% | 14 | 13 | $22K |
| D0340 | 4.3% | 164 | 164 | $17K | |
| D0350 | 3.2% | 163 | 163 | $13K | |
| D0330 | Panoramic radiographic image | 2.7% | 162 | 162 | $11K |
| D8660 | 1.4% | 163 | 163 | $6K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAMIDON, LORI (PATIENT ACCOUNTS MGR)