ESSEX STREET DENTAL LLC
NPI: 1205237906
· DOVER FOXCROFT, ME 04426
· Dentist
· NPI assigned 09/12/2014
Provider Details
| Authorized Official | HELINSKI, RAY (OWNER) |
| NPI Enumeration Date | 09/12/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
313 |
$6K |
| 2019 |
117 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
266 |
242 |
$7K |
| D1206 |
Topical application of fluoride varnish |
130 |
116 |
$1K |
| D1110 |
Prophylaxis - adult |
20 |
19 |
$680.00 |
| D1120 |
Prophylaxis - child |
14 |
13 |
$390.00 |