NPI: 1164046645 · MANCHESTER, NH 03101 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 06/01/2020
Authorized official TAVANO, JOANNE controls 20+ related entities in our dataset. Read more
| Authorized Official | TAVANO, JOANNE (CFO) |
| NPI Enumeration Date | 06/01/2020 |
Other providers sharing the same authorized official: TAVANO, JOANNE
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 694 | $13K |
| 2021 | 1,621 | $52K |
| 2022 | 779 | $27K |
| 2023 | 4,402 | $221K |
| 2024 | 7,330 | $362K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 2,207 | 1,922 | $124K |
| D1110 | Prophylaxis - adult | 1,295 | 1,159 | $73K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 509 | 286 | $67K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 555 | 309 | $63K |
| D0140 | Limited oral evaluation - problem focused | 1,357 | 1,228 | $63K |
| D1120 | Prophylaxis - child | 1,424 | 1,234 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 532 | 279 | $47K |
| D0120 | Periodic oral evaluation - established patient | 1,261 | 1,149 | $40K |
| D1206 | Topical application of fluoride varnish | 1,658 | 1,425 | $31K |
| D0330 | Panoramic radiographic image | 736 | 637 | $30K |
| D0210 | Intraoral - complete series of radiographic images | 458 | 423 | $28K |
| D0274 | Bitewings - four radiographic images | 738 | 646 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 1,065 | 945 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 77 | 25 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 436 | 390 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 41 | 26 | $6K |
| D1351 | Sealant - per tooth | 47 | 12 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 27 | 26 | $1K |
| D0272 | Bitewings - two radiographic images | 40 | 37 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 25 | 24 | $189.42 |
| D1999 | 338 | 279 | $0.00 |