SCOTTSDALE ORTHODONTIC ASSOCIATES INC
NPI: 1962728881
· SCOTTSDALE, AZ 85260
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 04/16/2010
$827.81
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
700 |
$827.81 |
| 2020 |
65 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
164 |
158 |
$422.04 |
| D1206 |
Topical application of fluoride varnish |
199 |
192 |
$183.57 |
| D0120 |
Periodic oral evaluation - established patient |
155 |
152 |
$75.96 |
| D0220 |
Intraoral - periapical first radiographic image |
79 |
74 |
$50.02 |
| D0240 |
|
71 |
67 |
$37.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
50 |
40 |
$31.46 |
| D0272 |
Bitewings - two radiographic images |
30 |
29 |
$27.76 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
12 |
$0.00 |