PRIME SMILE DENTAL GROUP PC
NPI: 1275974354
· MARLBOROUGH, MA 01752
· General Practice Dentistry
· NPI assigned 07/17/2013
Provider Details
| Authorized Official | RAHIMI, MOJGAN (OWNER) |
| NPI Enumeration Date | 07/17/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
73 |
$3K |
| 2019 |
85 |
$4K |
| 2020 |
61 |
$2K |
| 2021 |
107 |
$5K |
| 2022 |
230 |
$8K |
| 2023 |
144 |
$5K |
| 2024 |
31 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
434 |
421 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
215 |
211 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
44 |
44 |
$708.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$507.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
26 |
25 |
$362.00 |