SAI DENTAL PC
NPI: 1164627618
· PEPPERELL, MA 01463
· General Practice Dentistry
· NPI assigned 06/15/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: BATTALURI, MANJULA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
245 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
75 |
69 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
78 |
74 |
$2K |
| D1120 |
Prophylaxis - child |
19 |
17 |
$816.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$562.00 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$522.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$364.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$212.00 |