SPEARE MEMORIAL HOSPITAL
NPI: 1164696225
· PLYMOUTH, NH 03264
· Dental Clinic/Center
· NPI assigned 04/18/2008
Provider Details
| Authorized Official | MCEWEN, MICHELLE (PRESIDENT/CEO) |
| Parent Organization | SPEARE MEMORIAL HOSPITAL |
| NPI Enumeration Date | 04/18/2008 |
Related Entities
Other providers sharing the same authorized official: MCEWEN, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
428 |
$11K |
| 2019 |
419 |
$9K |
| 2020 |
138 |
$2K |
| 2022 |
123 |
$3K |
| 2023 |
66 |
$2K |
| 2024 |
56 |
$548.73 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
645 |
495 |
$13K |
| D1351 |
Sealant - per tooth |
351 |
91 |
$8K |
| D1110 |
Prophylaxis - adult |
199 |
152 |
$6K |
| D1354 |
|
35 |
13 |
$0.00 |