MODERN ORTHODONTICS
NPI: 1932538253
· BRISTOW, VA 20136
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 11/06/2013
$377K
Total Medicaid Paid
Provider Details
| Authorized Official | MOLLOV, NIKOLAY (VICE-PRESIDENT) |
| NPI Enumeration Date | 11/06/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
102 |
$46K |
| 2019 |
81 |
$30K |
| 2020 |
161 |
$65K |
| 2021 |
214 |
$83K |
| 2022 |
223 |
$101K |
| 2023 |
171 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
902 |
891 |
$366K |
| D8660 |
|
50 |
45 |
$11K |