VERMONT TECHNICAL COLLEGE DEPARTMENT OF DENTA
NPI: 1134473218
· WILLISTON, VT 05495
· General Practice Dentistry
· NPI assigned 10/29/2012
Provider Details
| Authorized Official | GRIMES, ELLEN (DEPARTMENT CHAIR) |
| NPI Enumeration Date | 10/29/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
156 |
$301.00 |
| 2019 |
14 |
$0.00 |
| 2020 |
32 |
$360.00 |
| 2021 |
90 |
$480.00 |
| 2022 |
169 |
$2K |
| 2023 |
381 |
$7K |
| 2024 |
77 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
266 |
230 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
134 |
115 |
$5K |
| D0274 |
Bitewings - four radiographic images |
16 |
14 |
$338.00 |
| D0191 |
|
83 |
76 |
$0.00 |
| D0180 |
|
16 |
14 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
111 |
101 |
$0.00 |
| D9972 |
|
78 |
59 |
$0.00 |
| D1330 |
|
215 |
190 |
$0.00 |