WALTER D. FONFARA, D.D.S., P.C.
NPI: 1033440961
· PLAINFIELD, CT 06374
· Dentist
· NPI assigned 01/15/2010
$138K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,069 |
$37K |
| 2019 |
746 |
$26K |
| 2020 |
358 |
$11K |
| 2021 |
471 |
$16K |
| 2022 |
455 |
$16K |
| 2023 |
529 |
$18K |
| 2024 |
367 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,397 |
1,368 |
$61K |
| D0120 |
Periodic oral evaluation - established patient |
1,191 |
1,167 |
$39K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,272 |
1,244 |
$35K |
| D0274 |
Bitewings - four radiographic images |
97 |
95 |
$4K |
| D1999 |
|
38 |
36 |
$0.00 |