STOWE FAMILY DENTISTRY PC
NPI: 1245275122
· STOWE, VT 05672
· General Practice Dentistry
· NPI assigned 06/17/2006
$229K
Total Medicaid Paid
Provider Details
| Authorized Official | HIRCE, JOHN (OWNER/DOCTOR) |
| NPI Enumeration Date | 06/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,220 |
$29K |
| 2019 |
1,517 |
$36K |
| 2020 |
660 |
$16K |
| 2021 |
886 |
$22K |
| 2022 |
1,438 |
$37K |
| 2023 |
1,586 |
$52K |
| 2024 |
914 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
3,348 |
3,202 |
$66K |
| D0120 |
Periodic oral evaluation - established patient |
2,231 |
2,126 |
$58K |
| D1120 |
Prophylaxis - child |
1,581 |
1,515 |
$57K |
| D1110 |
Prophylaxis - adult |
678 |
631 |
$34K |
| D0274 |
Bitewings - four radiographic images |
250 |
237 |
$9K |
| D0330 |
Panoramic radiographic image |
41 |
39 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
43 |
$2K |
| D0340 |
|
13 |
12 |
$770.00 |
| D0350 |
|
24 |
24 |
$732.00 |
| D0470 |
|
12 |
12 |
$550.00 |