NICHOLAS CALCATERRA DDS PC
NPI: 1235572868
· ORANGE, CT 06477
· General Practice Dentistry
· NPI assigned 04/13/2013
$193K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
816 |
$29K |
| 2019 |
876 |
$31K |
| 2020 |
681 |
$24K |
| 2021 |
884 |
$32K |
| 2022 |
774 |
$28K |
| 2023 |
685 |
$25K |
| 2024 |
666 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,915 |
1,900 |
$85K |
| D0120 |
Periodic oral evaluation - established patient |
1,739 |
1,726 |
$59K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,715 |
1,705 |
$48K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$407.68 |