MID MAINE DENTAL HYGIENE LLC
NPI: 1003668195
· MILO, ME 04463
· Dental Clinic/Center
· NPI assigned 04/03/2024
Provider Details
| Authorized Official | BURGESS, DARCY (RDH) |
| NPI Enumeration Date | 04/03/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
442 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
133 |
130 |
$3K |
| D1310 |
|
118 |
114 |
$3K |
| D0190 |
|
127 |
123 |
$3K |
| D0274 |
Bitewings - four radiographic images |
37 |
37 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
13 |
$710.45 |
| D1320 |
|
13 |
12 |
$368.64 |