QUINSIGAMOND DENTAL
NPI: 1043641384
· SHREWSBURY, MA 01545
· General Practice Dentistry
· NPI assigned 12/12/2013
Provider Details
| Authorized Official | XU, JACK (OWNER) |
| NPI Enumeration Date | 12/12/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
140 |
$21K |
| 2024 |
788 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
92 |
52 |
$63K |
| D1110 |
Prophylaxis - adult |
324 |
320 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
215 |
211 |
$5K |
| D2950 |
|
22 |
14 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
39 |
39 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
131 |
112 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
41 |
36 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
34 |
27 |
$341.00 |