ATTLEBORO DENTAL INC
NPI: 1194068932
· NORTH ATTLEBORO, MA 02760
· General Practice Dentistry
· NPI assigned 03/29/2013
$338K
Total Medicaid Paid
Provider Details
| Authorized Official | BAE, SANG (OWNER) |
| NPI Enumeration Date | 03/29/2013 |
Related Entities
Other providers sharing the same authorized official: BAE, SANG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
548 |
$15K |
| 2019 |
590 |
$15K |
| 2020 |
652 |
$16K |
| 2021 |
1,099 |
$69K |
| 2022 |
1,118 |
$61K |
| 2023 |
1,445 |
$100K |
| 2024 |
1,030 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
201 |
138 |
$145K |
| D1110 |
Prophylaxis - adult |
1,440 |
1,411 |
$74K |
| D0120 |
Periodic oral evaluation - established patient |
1,675 |
1,646 |
$37K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
44 |
27 |
$24K |
| D0220 |
Intraoral - periapical first radiographic image |
1,454 |
1,400 |
$22K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,006 |
841 |
$13K |
| D0140 |
Limited oral evaluation - problem focused |
267 |
259 |
$11K |
| D0274 |
Bitewings - four radiographic images |
277 |
273 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
106 |
101 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$828.00 |