KENNEDY FAMILY DENTAL
NPI: 1255632667
· TORRINGTON, CT 06790
· General Practice Dentistry
· NPI assigned 11/16/2010
$192K
Total Medicaid Paid
Provider Details
| Authorized Official | GOYAL, RIDHIMA (OWNER) |
| NPI Enumeration Date | 11/16/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,322 |
$42K |
| 2019 |
916 |
$32K |
| 2020 |
637 |
$23K |
| 2021 |
829 |
$28K |
| 2022 |
828 |
$27K |
| 2023 |
684 |
$23K |
| 2024 |
477 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,813 |
1,737 |
$78K |
| D0120 |
Periodic oral evaluation - established patient |
1,821 |
1,751 |
$57K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,805 |
1,732 |
$47K |
| D0274 |
Bitewings - four radiographic images |
182 |
179 |
$7K |
| D1110 |
Prophylaxis - adult |
56 |
56 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
16 |
16 |
$399.36 |