DONALD P. PROHOVICH, DDS, PC
NPI: 1093848533
· NORTH EASTON, MA 02356
· General Practice Dentistry
· NPI assigned 03/13/2007
$976K
Total Medicaid Paid
Provider Details
| Authorized Official | PROHOVICH, DOLLY (OFFICE MANAGER) |
| NPI Enumeration Date | 03/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,611 |
$305K |
| 2019 |
5,964 |
$228K |
| 2020 |
2,763 |
$92K |
| 2021 |
2,907 |
$100K |
| 2022 |
2,969 |
$115K |
| 2023 |
2,233 |
$69K |
| 2024 |
2,153 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
6,460 |
6,349 |
$312K |
| D9410 |
|
4,151 |
3,504 |
$129K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,171 |
4,091 |
$114K |
| D0120 |
Periodic oral evaluation - established patient |
4,467 |
4,165 |
$88K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,928 |
1,883 |
$69K |
| D5110 |
|
98 |
98 |
$66K |
| D0140 |
Limited oral evaluation - problem focused |
1,460 |
1,403 |
$56K |
| D7140 |
Extraction, erupted tooth or exposed root |
730 |
198 |
$49K |
| D9920 |
|
750 |
722 |
$44K |
| D5120 |
|
42 |
42 |
$28K |
| D9110 |
|
266 |
259 |
$8K |
| D1354 |
|
463 |
81 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
302 |
285 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
312 |
138 |
$3K |