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MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
NPI: 1265583199
· BOSTON, MA 02114
· Dentist
· NPI assigned 01/16/2007
$164K
Total Medicaid Paid
Provider Details
| Authorized Official | LAU, AGNES (DIRECTOR, MGH DENTAL GROUP) |
| NPI Enumeration Date | 01/16/2007 |
Related Entities
Other providers sharing the same authorized official: LAU, AGNES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,825 |
$65K |
| 2019 |
1,825 |
$61K |
| 2020 |
457 |
$13K |
| 2021 |
14 |
$1K |
| 2022 |
70 |
$2K |
| 2023 |
307 |
$7K |
| 2024 |
442 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
915 |
861 |
$43K |
| D1110 |
Prophylaxis - adult |
924 |
872 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
1,518 |
1,421 |
$37K |
| D1208 |
Topical application of fluoride, excluding varnish |
921 |
870 |
$24K |
| D1206 |
Topical application of fluoride varnish |
428 |
381 |
$9K |
| D0272 |
Bitewings - two radiographic images |
148 |
138 |
$4K |
| D9920 |
|
56 |
45 |
$4K |
| D8670 |
Periodic orthodontic treatment visit |
14 |
12 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
12 |
$1K |