COMMONWEALTH PEDIATRIC DENTAL PC
NPI: 1003263088
· DARTMOUTH, MA 02747
· 1223P0221X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
826 |
$29K |
| 2019 |
1,599 |
$55K |
| 2020 |
301 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
838 |
828 |
$40K |
| D1206 |
|
952 |
944 |
$24K |
| D0120 |
|
703 |
699 |
$20K |
| D9110 |
|
69 |
69 |
$5K |
| D0272 |
|
133 |
132 |
$4K |
| D0150 |
|
17 |
17 |
$986.00 |
| D0220 |
|
14 |
14 |
$280.00 |