ADVANCED DENTAL CENTERS OF WEYMOUTH P.C.
NPI: 1174690226
· WEYMOUTH, MA 02190
· Customized Equipment (DME)
· NPI assigned 11/30/2006
$139K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SHURBAJI, MOHAMAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
627 |
$26K |
| 2019 |
535 |
$20K |
| 2020 |
391 |
$16K |
| 2021 |
454 |
$18K |
| 2022 |
475 |
$19K |
| 2023 |
610 |
$23K |
| 2024 |
465 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,825 |
1,716 |
$90K |
| D0274 |
Bitewings - four radiographic images |
596 |
554 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
726 |
690 |
$16K |
| D1208 |
Topical application of fluoride, excluding varnish |
275 |
261 |
$7K |
| D1120 |
Prophylaxis - child |
55 |
54 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
55 |
54 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$828.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$498.00 |