MATTHEW D WALL DDS MSD PLLC
NPI: 1962888636
· LACEY, WA 98503
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/05/2015
$630K
Total Medicaid Paid
Provider Details
| Authorized Official | WALL, MATTHEW (OWNER) |
| NPI Enumeration Date | 08/05/2015 |
Related Entities
Other providers sharing the same authorized official: WALL, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
706 |
$189K |
| 2019 |
540 |
$134K |
| 2020 |
458 |
$112K |
| 2021 |
363 |
$92K |
| 2022 |
167 |
$43K |
| 2023 |
156 |
$33K |
| 2024 |
124 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,713 |
1,656 |
$528K |
| D8670 |
Periodic orthodontic treatment visit |
389 |
383 |
$82K |
| D0160 |
|
400 |
391 |
$17K |
| D8660 |
|
12 |
12 |
$3K |