SEACOAST CHILDREN'S DENTISTRY
NPI: 1164961611
· GREENLAND, NH 03840
· Dental Clinic/Center
· NPI assigned 02/16/2017
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | BOTTRILL, ADAM (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 02/16/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
192 |
$5K |
| 2019 |
650 |
$17K |
| 2020 |
700 |
$19K |
| 2021 |
827 |
$24K |
| 2022 |
564 |
$16K |
| 2023 |
432 |
$13K |
| 2024 |
339 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,133 |
1,081 |
$40K |
| D0120 |
Periodic oral evaluation - established patient |
1,138 |
1,082 |
$35K |
| D1206 |
Topical application of fluoride varnish |
1,293 |
1,225 |
$23K |
| D0272 |
Bitewings - two radiographic images |
49 |
49 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
24 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
36 |
26 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
30 |
26 |
$1K |