NORTH ATTLEBORO DENTAL
NPI: 1225209968
· NORTH ATTLEBORO, MA 02760
· Dentist
· NPI assigned 03/21/2008
$174K
Total Medicaid Paid
Provider Details
| Authorized Official | SOTELO, HUGO (PRESIDENT) |
| NPI Enumeration Date | 03/21/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,232 |
$44K |
| 2020 |
726 |
$25K |
| 2021 |
869 |
$31K |
| 2022 |
776 |
$30K |
| 2023 |
661 |
$25K |
| 2024 |
458 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,247 |
1,231 |
$74K |
| D0120 |
Periodic oral evaluation - established patient |
1,731 |
1,705 |
$44K |
| D1206 |
Topical application of fluoride varnish |
987 |
979 |
$25K |
| D0274 |
Bitewings - four radiographic images |
488 |
482 |
$19K |
| D1120 |
Prophylaxis - child |
223 |
223 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
27 |
27 |
$1K |
| D1999 |
|
19 |
19 |
$0.00 |