FIRST IMPRESSIONS, SC ORTHODONTICS
NPI: 1932482841
· WAUSAU, WI 54401
· Dental Clinic/Center
· NPI assigned 09/27/2011
$167K
Total Medicaid Paid
Provider Details
| Authorized Official | HOMEYER, HEATHER (FINANCIAL COORDINATOR) |
| NPI Enumeration Date | 09/27/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,216 |
$93K |
| 2019 |
848 |
$75K |
| 2020 |
64 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
2,006 |
1,908 |
$148K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
13 |
13 |
$13K |
| D0330 |
Panoramic radiographic image |
24 |
24 |
$2K |
| D0470 |
|
24 |
24 |
$2K |
| D0340 |
|
24 |
24 |
$1K |
| D0350 |
|
24 |
24 |
$1K |
| D1330 |
|
13 |
13 |
$0.00 |