HAVERHILL DENTAL ASSOCIATES INC
NPI: 1255388450
· HAVERHILL, MA 01830
· Dentist
· NPI assigned 05/31/2006
$204K
Total Medicaid Paid
Provider Details
| Authorized Official | LEWIS, DONALD (DENTIST OWNER) |
| NPI Enumeration Date | 05/31/2006 |
Related Entities
Other providers sharing the same authorized official: LEWIS, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,277 |
$46K |
| 2019 |
1,113 |
$37K |
| 2020 |
796 |
$26K |
| 2021 |
922 |
$30K |
| 2022 |
720 |
$27K |
| 2023 |
588 |
$23K |
| 2024 |
352 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,615 |
1,576 |
$86K |
| D0120 |
Periodic oral evaluation - established patient |
2,019 |
1,979 |
$47K |
| D0274 |
Bitewings - four radiographic images |
545 |
530 |
$20K |
| D1120 |
Prophylaxis - child |
318 |
310 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
467 |
456 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
626 |
564 |
$9K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
58 |
36 |
$5K |
| D2161 |
|
37 |
25 |
$4K |
| D2394 |
|
18 |
12 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$498.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
14 |
$356.00 |