MIDDLEBORO FAMILY DENTAL INC
NPI: 1083698856
· MIDDLEBORO, MA 02346
· Dentist
· NPI assigned 12/05/2005
$271K
Total Medicaid Paid
Provider Details
| Authorized Official | WEHBE, YASER (PRESIDENT) |
| NPI Enumeration Date | 12/05/2005 |
Related Entities
Other providers sharing the same authorized official: WEHBE, YASER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
752 |
$30K |
| 2019 |
936 |
$31K |
| 2020 |
792 |
$25K |
| 2021 |
992 |
$38K |
| 2022 |
1,108 |
$45K |
| 2023 |
1,479 |
$67K |
| 2024 |
885 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
2,178 |
2,146 |
$63K |
| D0120 |
Periodic oral evaluation - established patient |
2,153 |
2,116 |
$62K |
| D1120 |
Prophylaxis - child |
1,218 |
1,192 |
$61K |
| D1110 |
Prophylaxis - adult |
483 |
479 |
$33K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
253 |
134 |
$29K |
| D0274 |
Bitewings - four radiographic images |
443 |
439 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
76 |
73 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$870.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$450.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$338.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$224.00 |
| D1999 |
|
82 |
72 |
$0.00 |