SOUTH NATICK DENTAL, PC
NPI: 1215183264
· NATICK, MA 01760
· General Practice Dentistry
· NPI assigned 08/11/2008
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | NOVAK, SVETLANA (PRESIDENT) |
| NPI Enumeration Date | 08/11/2008 |
Related Entities
Other providers sharing the same authorized official: NOVAK, SVETLANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
414 |
$16K |
| 2019 |
472 |
$18K |
| 2020 |
281 |
$11K |
| 2021 |
266 |
$10K |
| 2022 |
390 |
$14K |
| 2023 |
249 |
$19K |
| 2024 |
311 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,315 |
1,233 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
664 |
628 |
$14K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
19 |
13 |
$10K |
| D0274 |
Bitewings - four radiographic images |
250 |
240 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
106 |
82 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
29 |
27 |
$783.00 |