125TH STREET ORTHODONTICS, PC
NPI: 1992127765
· NEW YORK, NY 10027
· Dental Clinic/Center
· NPI assigned 01/14/2014
$435K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: COOPERMAN, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
85 |
$12K |
| 2020 |
320 |
$42K |
| 2021 |
539 |
$64K |
| 2022 |
1,027 |
$77K |
| 2023 |
1,588 |
$121K |
| 2024 |
1,210 |
$119K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,560 |
1,534 |
$353K |
| D0340 |
|
582 |
582 |
$22K |
| D8660 |
|
692 |
691 |
$20K |
| D0470 |
|
671 |
671 |
$17K |
| D0330 |
Panoramic radiographic image |
521 |
521 |
$15K |
| D0350 |
|
743 |
743 |
$8K |