GLENN L. DOMINGUEZ, D.M.D., LLC
NPI: 1215332077
· WOONSOCKET, RI 02895
· Dental Clinic/Center
· NPI assigned 10/22/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
790 |
$16K |
| 2019 |
563 |
$11K |
| 2020 |
350 |
$7K |
| 2021 |
533 |
$10K |
| 2022 |
70 |
$2K |
| 2023 |
546 |
$24K |
| 2024 |
627 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,726 |
1,701 |
$64K |
| D0120 |
Periodic oral evaluation - established patient |
1,379 |
1,355 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
112 |
112 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
120 |
120 |
$5K |
| D0274 |
Bitewings - four radiographic images |
97 |
96 |
$2K |
| D0272 |
Bitewings - two radiographic images |
45 |
43 |
$732.00 |