IMMEDIATE DENTAL INC.
NPI: 1013365857
· CLINTON, MA 01510
· Dentist
· NPI assigned 06/02/2016
Provider Details
| Authorized Official | PHAM, THANH (MANAGER) |
| NPI Enumeration Date | 06/02/2016 |
Related Entities
Other providers sharing the same authorized official: PHAM, THANH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
490 |
$17K |
| 2022 |
251 |
$8K |
| 2023 |
220 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
225 |
224 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
261 |
260 |
$6K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
46 |
24 |
$5K |
| D0274 |
Bitewings - four radiographic images |
135 |
134 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
87 |
84 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
166 |
160 |
$2K |
| D1120 |
Prophylaxis - child |
19 |
19 |
$867.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
22 |
22 |
$638.00 |