NPI: 1184718421 · MARLBORO, MA 01752 · General Practice Dentistry · NPI assigned 10/03/2006
| Authorized Official | BADAWI, BASEL (PRESIDENT) |
| NPI Enumeration Date | 10/03/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 894 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 62 | 62 | $15K |
| D1120 | Prophylaxis - child | 174 | 173 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 242 | 240 | $7K |
| D0120 | Periodic oral evaluation - established patient | 228 | 226 | $7K |
| D1110 | Prophylaxis - adult | 74 | 73 | $5K |
| D0274 | Bitewings - four radiographic images | 77 | 77 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24 | 13 | $2K |
| D0330 | Panoramic radiographic image | 13 | 12 | $634.00 |