NPI: 1033765953 · CAMBRIDGE, MA 02138 · Dental Clinic/Center · NPI assigned 08/15/2019
Authorized official SCIALABBA, MICHAEL controls 13+ related entities in our dataset. Read more
| Authorized Official | SCIALABBA, MICHAEL (CHIEF CLINICAL OFFICER) |
| Parent Organization | 42 NORTH DENTAL CARE, LLC |
| NPI Enumeration Date | 08/15/2019 |
Other providers sharing the same authorized official: SCIALABBA, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| 42 NORTH DENTAL CARE, LLC | WALTHAM | MA | $2.23M |
| 42 NORTH DENTAL CARE, LLC | MANSFIELD | MA | $1.17M |
| 42 NORTH DENTAL CARE, LLC | WATERTOWN | MA | $339K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | BLISSFIELD | MI | $70K |
| 42 NORTH DENTAL CARE, LLC | BROOKLINE | MA | $40K |
| 42 NORTH DENTAL CARE OF INDIANA, LLC | MUNCIE | IN | $36K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | ALMONT | MI | $27K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | CHARLOTTE | MI | $16K |
| 42 NORTH DENTAL ORAL SURGERY OF MA, PLLC | QUINCY | MA | $15K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | HOWELL | MI | $3K |
| 42 NORTH DENTAL CARE PLLC | WATERBURY | CT | $0.00 |
| 42 NORTH DENTAL CARE PLLC | SOUTHBURY | CT | $0.00 |
| 42 NORTH DENTAL CARE PLLC | MANCHESTER | CT | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 33 | $1K |
| 2020 | 1,190 | $41K |
| 2021 | 1,412 | $51K |
| 2022 | 1,161 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 911 | 875 | $45K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 231 | 116 | $19K |
| D0274 | Bitewings - four radiographic images | 574 | 543 | $19K |
| D0120 | Periodic oral evaluation - established patient | 698 | 676 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 242 | 229 | $10K |
| D0140 | Limited oral evaluation - problem focused | 232 | 217 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 87 | 84 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 321 | 298 | $5K |
| D1206 | Topical application of fluoride varnish | 135 | 132 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 202 | 170 | $3K |
| D1351 | Sealant - per tooth | 62 | 14 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 43 | 27 | $2K |
| D1120 | Prophylaxis - child | 31 | 31 | $2K |
| D0330 | Panoramic radiographic image | 15 | 15 | $769.00 |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $319.00 |