SOLOMON, DAVID
NPI: 1023058260
· CAMBRIDGE, VT 05444
· General Practice Dentistry
· NPI assigned 06/07/2006
$129K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,107 |
$31K |
| 2019 |
1,178 |
$32K |
| 2020 |
870 |
$23K |
| 2021 |
982 |
$28K |
| 2022 |
506 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,088 |
1,039 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
1,559 |
1,506 |
$36K |
| D1120 |
Prophylaxis - child |
441 |
422 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
647 |
627 |
$11K |
| D0274 |
Bitewings - four radiographic images |
399 |
384 |
$11K |
| D1206 |
Topical application of fluoride varnish |
496 |
478 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$410.00 |