WAVERLY OAKS DENTAL, INC.
NPI: 1295135085
· WALTHAM, MA 02452
· Dentist
· NPI assigned 08/28/2014
Provider Details
| Authorized Official | ZAMANI, LEILA (OWNER) |
| NPI Enumeration Date | 08/28/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
430 |
$13K |
| 2019 |
741 |
$23K |
| 2020 |
537 |
$17K |
| 2021 |
448 |
$15K |
| 2022 |
424 |
$12K |
| 2023 |
232 |
$7K |
| 2024 |
168 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
941 |
924 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
781 |
766 |
$22K |
| D1120 |
Prophylaxis - child |
292 |
287 |
$14K |
| D0274 |
Bitewings - four radiographic images |
210 |
205 |
$9K |
| D1110 |
Prophylaxis - adult |
117 |
115 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
263 |
254 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
257 |
247 |
$4K |
| D8670 |
Periodic orthodontic treatment visit |
13 |
12 |
$3K |
| D1330 |
|
94 |
92 |
$0.00 |
| D4999 |
|
12 |
12 |
$0.00 |