ATLANTIS DENTAL LLC
NPI: 1003952839
· FRAMINGHAM, MA 01702
· General Practice Dentistry
· NPI assigned 01/29/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
933 |
$30K |
| 2019 |
701 |
$24K |
| 2020 |
365 |
$12K |
| 2021 |
43 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
583 |
555 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
599 |
573 |
$16K |
| D1206 |
Topical application of fluoride varnish |
654 |
623 |
$16K |
| D0274 |
Bitewings - four radiographic images |
145 |
144 |
$6K |
| D1351 |
Sealant - per tooth |
49 |
14 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$700.00 |