DENTAL ASSOCIATES OF WALPOLE
NPI: 1255411831
· WALPOLE, MA 02081
· Pediatric Dentist
· NPI assigned 10/17/2006
$445K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PAGE, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,183 |
$37K |
| 2019 |
2,748 |
$87K |
| 2020 |
1,734 |
$59K |
| 2021 |
2,419 |
$83K |
| 2022 |
2,627 |
$96K |
| 2023 |
2,282 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,891 |
2,832 |
$143K |
| D0120 |
Periodic oral evaluation - established patient |
4,129 |
4,037 |
$114K |
| D1206 |
Topical application of fluoride varnish |
4,471 |
4,374 |
$110K |
| D1110 |
Prophylaxis - adult |
1,002 |
972 |
$60K |
| D1351 |
Sealant - per tooth |
278 |
107 |
$10K |
| D0272 |
Bitewings - two radiographic images |
141 |
141 |
$4K |
| D0274 |
Bitewings - four radiographic images |
56 |
54 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$736.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$638.00 |