NJ DFC ORTHODONTICS, LLC
NPI: 1942977491
· LAKEWOOD, NJ 08701
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/24/2021
$443K
Total Medicaid Paid
Provider Details
| Authorized Official | LE, PHI (CREDENTIALING CONTRACTS MANAGER) |
| Parent Organization | NJ DENTISTRY FOR CHILDREN, P.A. |
| NPI Enumeration Date | 08/24/2021 |
Related Entities
Other providers sharing the same authorized official: LE, PHI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
1,459 |
$65K |
| 2023 |
4,367 |
$186K |
| 2024 |
3,134 |
$192K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
8,080 |
6,247 |
$344K |
| D8680 |
|
51 |
41 |
$47K |
| D8660 |
|
802 |
777 |
$34K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
27 |
27 |
$19K |