NPI: 1134693955 · MANSFIELD, MA 02048 · Dental Clinic/Center · NPI assigned 01/15/2019
Authorized official SCIALABBA, MICHAEL controls 13+ related entities in our dataset. Read more
| Authorized Official | SCIALABBA, MICHAEL (CHIEF CLINICAL OFFICER) |
| Parent Organization | 42 NORTH DENTAL CARE, LLC |
| NPI Enumeration Date | 01/15/2019 |
Other providers sharing the same authorized official: SCIALABBA, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| 42 NORTH DENTAL CARE, LLC | WALTHAM | MA | $2.23M |
| 42 NORTH DENTAL CARE, LLC | WATERTOWN | MA | $339K |
| 42 NORTH DENTAL CARE, LLC | CAMBRIDGE | MA | $138K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | BLISSFIELD | MI | $70K |
| 42 NORTH DENTAL CARE, LLC | BROOKLINE | MA | $40K |
| 42 NORTH DENTAL CARE OF INDIANA, LLC | MUNCIE | IN | $36K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | ALMONT | MI | $27K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | CHARLOTTE | MI | $16K |
| 42 NORTH DENTAL ORAL SURGERY OF MA, PLLC | QUINCY | MA | $15K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | HOWELL | MI | $3K |
| 42 NORTH DENTAL CARE PLLC | WATERBURY | CT | $0.00 |
| 42 NORTH DENTAL CARE PLLC | SOUTHBURY | CT | $0.00 |
| 42 NORTH DENTAL CARE PLLC | MANCHESTER | CT | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,153 | $94K |
| 2020 | 3,440 | $155K |
| 2021 | 4,459 | $211K |
| 2022 | 4,996 | $257K |
| 2023 | 4,423 | $249K |
| 2024 | 3,457 | $202K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 1,912 | 1,622 | $415K |
| D1120 | Prophylaxis - child | 4,264 | 4,184 | $207K |
| D1208 | Topical application of fluoride, excluding varnish | 6,458 | 6,321 | $179K |
| D0120 | Periodic oral evaluation - established patient | 6,139 | 6,014 | $168K |
| D1110 | Prophylaxis - adult | 1,566 | 1,533 | $97K |
| D0274 | Bitewings - four radiographic images | 1,698 | 1,669 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 75 | 56 | $9K |
| D0330 | Panoramic radiographic image | 106 | 106 | $8K |
| D1351 | Sealant - per tooth | 159 | 52 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 64 | 51 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 68 | 67 | $4K |
| D8680 | 32 | 29 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 18 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | 39 | 39 | $999.65 |
| D1999 | 330 | 319 | $0.00 |