CONCORD HOSPITAL-LACONIA
NPI: 1134226327
· LACONIA, NH 03246
· Dental Clinic/Center
· NPI assigned 09/20/2006
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | SLOANE, SCOTT (CHIEF FINANCIAL OFFICER) |
| Parent Organization | CONCORD HOSPITAL-LACONIA |
| NPI Enumeration Date | 09/20/2006 |
Related Entities
Other providers sharing the same authorized official: SLOANE, SCOTT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
13 |
$540.00 |
| 2019 |
57 |
$2K |
| 2020 |
17 |
$649.60 |
| 2021 |
26 |
$1K |
| 2022 |
15 |
$574.08 |
| 2023 |
1,112 |
$47K |
| 2024 |
1,231 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
805 |
770 |
$53K |
| D0120 |
Periodic oral evaluation - established patient |
585 |
561 |
$21K |
| D0274 |
Bitewings - four radiographic images |
436 |
414 |
$16K |
| D1206 |
Topical application of fluoride varnish |
346 |
343 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
152 |
129 |
$6K |
| D0330 |
Panoramic radiographic image |
93 |
79 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
28 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$253.96 |