NPI: 1902087554 · SHAKOPEE, MN 55379 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/23/2007
| Authorized Official | SELLNER, WENDY (OFFICE MANAGER) |
| NPI Enumeration Date | 11/23/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 36 | $5K |
| 2021 | 287 | $37K |
| 2022 | 766 | $156K |
| 2023 | 1,190 | $247K |
| 2024 | 1,065 | $213K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 2,004 | 1,992 | $423K |
| D8670 | Periodic orthodontic treatment visit | 955 | 955 | $172K |
| D8020 | 265 | 265 | $54K | |
| D0340 | 24 | 24 | $3K | |
| D0350 | 24 | 24 | $2K | |
| D0470 | 24 | 24 | $2K | |
| D0330 | Panoramic radiographic image | 24 | 24 | $1K |
| D0160 | 24 | 24 | $1K |