ORTHODONTIC EXPERTS OF WISCONSIN, LLC
NPI: 1942949573
· HALES CORNERS, WI 53130
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 06/01/2022
$2.41M
Total Medicaid Paid
Provider Details
| Authorized Official | BZDAL, MONIKA (VP OF SUPPORT SERVICES) |
| Parent Organization | ORTHODONTIC EXPERTS OF WISCONSIN, LLC |
| NPI Enumeration Date | 06/01/2022 |
Related Entities
Other providers sharing the same authorized official: BZDAL, MONIKA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
64 |
$861.40 |
| 2023 |
3,264 |
$685K |
| 2024 |
8,353 |
$1.72M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
8,344 |
7,769 |
$1.26M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
897 |
801 |
$1.01M |
| D8660 |
|
1,171 |
1,091 |
$91K |
| D0330 |
Panoramic radiographic image |
423 |
404 |
$22K |
| D0340 |
|
423 |
404 |
$17K |
| D0350 |
|
423 |
404 |
$13K |