NPI: 1275620866 · PORTSMOUTH, VA 23701 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/06/2006
Authorized official JACOMINO, MICHELLE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACOMINO, MICHELLE (DIRECTOR OF PAYOR RELATIONS) |
| NPI Enumeration Date | 10/06/2006 |
Other providers sharing the same authorized official: JACOMINO, MICHELLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| TREMONT ROAD DENTAL, PC | NEWPORT NEWS | VA | $85.04M |
| TREMONT ROAD DENTAL SUPER, P.C. | NORFOLK | VA | $63.58M |
| WOLCOTT STREET DENTAL-2, PC | WATERBURY | CT | $21.04M |
| HATHAWAY ROAD DENTAL, PC | SPRINGFIELD | MA | $18.79M |
| WOLCOTT STREET DENTAL-1, PC | NEW BRITAIN | CT | $15.20M |
| HATHAWAY ROAD DENTAL, PC | CHELSEA | MA | $10.26M |
| HATHAWAY ROAD DENTAL, PC | ROXBURY | MA | $9.05M |
| HATHAWAY ROAD DENTAL, PC | NEW BEDFORD | MA | $8.69M |
| HATHAWAY ROAD DENTAL, PC | FALL RIVER | MA | $7.72M |
| HATHAWAY ROAD DENTAL, PC | HOLYOKE | MA | $7.18M |
| HATHAWAY ROAD DENTAL, PC | BROCKTON | MA | $6.08M |
| TREMONT ROAD DENTAL, PC | DANVILLE | VA | $113K |
| TREMONT ROAD DENTAL, PC | HAMPTON | VA | $76K |
| TREMONT ROAD DENTAL, PC | NORFOLK | VA | $69K |
| TREMONT ROAD DENTAL, PC | RICHMOND | VA | $66K |
| TREMONT ROAD DENTAL, PC | VIRGINIA BEACH | VA | $66K |
| TREMONT ROAD DENTAL SUPER, P.C. | RICHMOND | VA | $62K |
| TREMONT ROAD DENTAL, PC | NORFOLK | VA | $61K |
| TREMONT ROAD DENTAL SUPER, P.C. | CHRISTIANSBURG | VA | $55K |
| TREMONT ROAD DENTAL, PC | ROANOKE | VA | $15K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 185 | $4K |
| 2019 | 1,859 | $31K |
| 2020 | 2,021 | $14K |
| 2021 | 1,212 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 1,750 | 1,672 | $24K |
| D0330 | Panoramic radiographic image | 1,045 | 1,015 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 588 | 288 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 229 | 96 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 57 | 57 | $2K |
| D0274 | Bitewings - four radiographic images | 69 | 69 | $1K |
| D0270 | 130 | 120 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 529 | 501 | $491.92 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 143 | 134 | $438.62 |
| D1999 | 715 | 650 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 22 | 14 | $0.00 |