STATE OF DELAWARE
NPI: 1225100092
· DOVER, DE 19901
· Dental Clinic/Center
· NPI assigned 11/15/2006
$802K
Total Medicaid Paid
Provider Details
| Authorized Official | CONTE, NICHOLAS (DENTAL DIRECTOR) |
| NPI Enumeration Date | 11/15/2006 |
Related Entities
Other providers sharing the same authorized official: CONTE, NICHOLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,248 |
$35K |
| 2019 |
5,444 |
$175K |
| 2020 |
2,273 |
$69K |
| 2021 |
2,553 |
$79K |
| 2022 |
4,741 |
$188K |
| 2023 |
5,428 |
$173K |
| 2024 |
2,380 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0190 |
|
9,037 |
8,868 |
$564K |
| D1206 |
Topical application of fluoride varnish |
7,272 |
7,134 |
$201K |
| D0140 |
Limited oral evaluation - problem focused |
429 |
426 |
$25K |
| D1351 |
Sealant - per tooth |
231 |
63 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
16 |
$1K |
| D0601 |
|
289 |
285 |
$0.00 |
| D0603 |
|
4,708 |
4,647 |
$0.00 |
| D0602 |
|
2,084 |
2,044 |
$0.00 |