ALPHA DENTAL CENTER OF DARTMOUTH, LLC
NPI: 1225502693
· N DARTMOUTH, MA 02747
· General Practice Dentistry
· NPI assigned 01/18/2019
Provider Details
| Authorized Official | COSTA, MARDY (ADMINISTRATOR) |
| NPI Enumeration Date | 01/18/2019 |
Related Entities
Other providers sharing the same authorized official: COSTA, MARDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
71 |
$2K |
| 2020 |
473 |
$16K |
| 2021 |
390 |
$14K |
| 2022 |
27 |
$1K |
| 2023 |
128 |
$6K |
| 2024 |
25 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
498 |
486 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
229 |
227 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
154 |
150 |
$2K |
| D0274 |
Bitewings - four radiographic images |
61 |
60 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
93 |
82 |
$1K |
| D1206 |
Topical application of fluoride varnish |
38 |
37 |
$962.00 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$816.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$575.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$439.00 |