PEDIATRIC DENTAL CARE OF WILMINGTON, LLC
NPI: 1033515549
· WILMINGTON, MA 01887
· Pediatric Dentist
· NPI assigned 11/10/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
52 |
$2K |
| 2020 |
661 |
$19K |
| 2021 |
535 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
352 |
339 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
397 |
381 |
$10K |
| D1206 |
Topical application of fluoride varnish |
417 |
399 |
$9K |
| D0272 |
Bitewings - two radiographic images |
46 |
44 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
36 |
30 |
$588.00 |