ACDCDDS,PC
NPI: 1053784595
· WILLISTON, VT 05495
· General Practice Dentistry
· NPI assigned 11/05/2015
Provider Details
| Authorized Official | GOLDEN, RONI (PRESIDENT) |
| NPI Enumeration Date | 11/05/2015 |
Related Entities
Other providers sharing the same authorized official: GOLDEN, RONI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
362 |
$9K |
| 2019 |
138 |
$3K |
| 2020 |
596 |
$13K |
| 2021 |
658 |
$18K |
| 2022 |
503 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
620 |
542 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
853 |
764 |
$19K |
| D1206 |
Topical application of fluoride varnish |
651 |
586 |
$10K |
| D0274 |
Bitewings - four radiographic images |
63 |
43 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
12 |
$462.00 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
27 |
$438.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
14 |
$112.00 |