REDSTONE DENTAL CENTER, LLC
NPI: 1215296009
· STONEHAM, MA 02180
· Dentist
· NPI assigned 05/14/2012
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | BUI, QUYNH (DENTIST) |
| NPI Enumeration Date | 05/14/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
958 |
$33K |
| 2019 |
668 |
$23K |
| 2020 |
405 |
$13K |
| 2021 |
561 |
$19K |
| 2022 |
312 |
$11K |
| 2023 |
452 |
$15K |
| 2024 |
189 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,054 |
1,033 |
$54K |
| D0120 |
Periodic oral evaluation - established patient |
1,803 |
1,769 |
$43K |
| D0274 |
Bitewings - four radiographic images |
218 |
212 |
$8K |
| D1206 |
Topical application of fluoride varnish |
261 |
258 |
$7K |
| D1120 |
Prophylaxis - child |
106 |
106 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
103 |
103 |
$3K |