KROCHMAL DENTAL INC
NPI: 1194447789
· ROSLINDALE, MA 02131
· Dental Clinic/Center
· NPI assigned 09/12/2022
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
191 |
$7K |
| 2023 |
840 |
$30K |
| 2024 |
586 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
643 |
612 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
634 |
610 |
$15K |
| D0274 |
Bitewings - four radiographic images |
177 |
170 |
$7K |
| D1206 |
Topical application of fluoride varnish |
94 |
89 |
$2K |
| D1120 |
Prophylaxis - child |
44 |
44 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$469.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$186.00 |