BOULDER VALLEY ORTHODONTICS, PLLC
NPI: 1952812836
· BOULDER, CO 80305
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/18/2017
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | GALITZ, CHRISTY (OFFICE MANAGER) |
| NPI Enumeration Date | 10/18/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
62 |
$3K |
| 2019 |
72 |
$5K |
| 2020 |
26 |
$4K |
| 2021 |
153 |
$12K |
| 2022 |
253 |
$24K |
| 2023 |
526 |
$47K |
| 2024 |
467 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8660 |
|
649 |
649 |
$94K |
| D0350 |
|
386 |
201 |
$28K |
| D0340 |
|
362 |
360 |
$21K |
| D0330 |
Panoramic radiographic image |
62 |
62 |
$3K |
| D8670 |
Periodic orthodontic treatment visit |
24 |
24 |
$3K |
| D0470 |
|
49 |
49 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$1K |