CHATAHAM DENTAL CARE LLC
NPI: 1104079789
· EAST HAMPTON, CT 06424
· General Practice Dentistry
· NPI assigned 10/28/2008
Provider Details
| Authorized Official | SIMONOW, NANCY (DENTIST) |
| NPI Enumeration Date | 10/28/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
248 |
$9K |
| 2019 |
26 |
$843.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
93 |
91 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
119 |
115 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
62 |
60 |
$2K |