TSO PLLC
NPI: 1942750559
· FORT THOMAS, KY 41075
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/06/2016
$152K
Total Medicaid Paid
Provider Details
| Authorized Official | GRUELLE, TERRY (OWNER) |
| NPI Enumeration Date | 10/06/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
60 |
$2K |
| 2021 |
130 |
$5K |
| 2022 |
214 |
$32K |
| 2023 |
429 |
$49K |
| 2024 |
140 |
$64K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
385 |
385 |
$131K |
| D0340 |
|
132 |
130 |
$8K |
| D0330 |
Panoramic radiographic image |
156 |
155 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
168 |
167 |
$5K |
| D0350 |
|
132 |
130 |
$2K |