SEA CORAL DENTISTRY PC
NPI: 1114768900
· GLOUCESTER, MA 01930
· Dental Clinic/Center
· NPI assigned 06/04/2024
Provider Details
Related Entities
Other providers sharing the same authorized official: AHMED, MOHAMMED BASEER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
377 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
113 |
99 |
$5K |
| D0274 |
Bitewings - four radiographic images |
79 |
71 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
102 |
90 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
36 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
26 |
$1K |
| D0330 |
Panoramic radiographic image |
19 |
13 |
$370.00 |