GP DENTISTRY FAIRFIELD, LLC
NPI: 1003266362
· FAIRFIELD, CT 06824
· General Practice Dentistry
· NPI assigned 06/17/2016
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | SHAH, KOSHA (OWNER DENTIST) |
| NPI Enumeration Date | 06/17/2016 |
Related Entities
Other providers sharing the same authorized official: SHAH, KOSHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
370 |
$9K |
| 2019 |
515 |
$13K |
| 2020 |
720 |
$17K |
| 2021 |
1,175 |
$23K |
| 2022 |
1,292 |
$26K |
| 2023 |
938 |
$21K |
| 2024 |
742 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,067 |
1,013 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
1,466 |
1,379 |
$32K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,036 |
983 |
$19K |
| D0274 |
Bitewings - four radiographic images |
657 |
620 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
777 |
715 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
643 |
478 |
$6K |
| D1120 |
Prophylaxis - child |
106 |
102 |
$4K |