JACKSON, KYLE
NPI: 1922334754
· HELENA, MT 59601
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/29/2009
$1.46M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,856 |
$204K |
| 2019 |
3,022 |
$264K |
| 2020 |
2,511 |
$187K |
| 2021 |
3,228 |
$278K |
| 2022 |
3,382 |
$243K |
| 2023 |
2,217 |
$185K |
| 2024 |
1,324 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
11,474 |
10,555 |
$992K |
| D0330 |
Panoramic radiographic image |
2,809 |
2,738 |
$143K |
| D9310 |
|
1,645 |
1,611 |
$90K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
28 |
25 |
$78K |
| D0340 |
|
1,136 |
1,097 |
$72K |
| D8680 |
|
205 |
188 |
$55K |
| D0350 |
|
981 |
948 |
$30K |
| D9995 |
|
236 |
208 |
$6K |
| D0470 |
|
26 |
26 |
$1K |