CEDAR BROOK PEDIATRIC DENTISTRY PLLC
NPI: 1003579277
· SOUTHBOROUGH, MA 01772
· Pediatric Dentist
· NPI assigned 10/14/2021
Provider Details
| Authorized Official | LA, NAOMI (PRACTICE OWNER) |
| NPI Enumeration Date | 10/14/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
210 |
$7K |
| 2024 |
743 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
299 |
289 |
$15K |
| D1206 |
Topical application of fluoride varnish |
348 |
333 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
59 |
57 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
97 |
96 |
$3K |
| D0272 |
Bitewings - two radiographic images |
90 |
88 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
45 |
41 |
$931.00 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$735.00 |