DAVID M. SULLIVAN DMD, PC
NPI: 1255510640
· WAREHAM, MA 02571
· Dental Clinic/Center
· NPI assigned 11/01/2007
$268K
Total Medicaid Paid
Provider Details
| Authorized Official | SULLIVAN, DAVID (DENTIST) |
| NPI Enumeration Date | 11/01/2007 |
Related Entities
Other providers sharing the same authorized official: SULLIVAN, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
902 |
$108K |
| 2019 |
1,069 |
$140K |
| 2020 |
283 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
327 |
288 |
$213K |
| D0140 |
Limited oral evaluation - problem focused |
1,025 |
968 |
$40K |
| D0220 |
Intraoral - periapical first radiographic image |
662 |
630 |
$11K |
| D0270 |
|
131 |
122 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
109 |
102 |
$1K |