DONALD R. BLACKSTONE, D.M.D., PA
NPI: 1245439652
· PRESQUE ISLE, ME 04769
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/16/2007
$133K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,594 |
$53K |
| 2019 |
1,287 |
$46K |
| 2020 |
535 |
$16K |
| 2021 |
461 |
$14K |
| 2022 |
89 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
1,367 |
1,345 |
$57K |
| D8660 |
|
1,428 |
1,399 |
$31K |
| D0470 |
|
686 |
673 |
$22K |
| D9450 |
|
89 |
87 |
$11K |
| D0160 |
|
294 |
269 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
46 |
46 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
56 |
54 |
$1K |