OAKDALE DENTAL ASSOCIATES PC
NPI: 1275541120
· HOLYOKE, MA 01040
· General Practice Dentistry
· NPI assigned 08/04/2006
$137K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
562 |
$17K |
| 2019 |
516 |
$15K |
| 2020 |
495 |
$13K |
| 2021 |
599 |
$19K |
| 2022 |
743 |
$28K |
| 2023 |
757 |
$24K |
| 2024 |
603 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,688 |
1,661 |
$42K |
| D1120 |
Prophylaxis - child |
915 |
900 |
$41K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,197 |
1,174 |
$30K |
| D1110 |
Prophylaxis - adult |
330 |
320 |
$18K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
48 |
26 |
$6K |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$449.77 |
| D1999 |
|
81 |
79 |
$0.00 |