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WENTWORTH-DOUGLASS COMMUNITY DENTAL CENTER
WENTWORTH-DOUGLASS COMMUNITY DENTAL CENTER
NPI: 1295814580
· DOVER, NH 03820
· General Practice Dentistry
· NPI assigned 11/06/2006
Provider Details
| Authorized Official | DEGENAARS, JOEL (EXECUTIVE DIRECTOR OF FINANCE) |
| NPI Enumeration Date | 11/06/2006 |
Related Entities
Other providers sharing the same authorized official: DEGENAARS, JOEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
473 |
$597.00 |
| 2019 |
343 |
$941.00 |
| 2020 |
36 |
$439.18 |
| 2021 |
340 |
$559.12 |
| 2022 |
33 |
$102.40 |
| 2023 |
441 |
$6K |
| 2024 |
387 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4346 |
|
330 |
282 |
$8K |
| D1206 |
Topical application of fluoride varnish |
662 |
570 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
170 |
137 |
$2K |
| D0274 |
Bitewings - four radiographic images |
94 |
82 |
$1K |
| D1330 |
|
377 |
331 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
46 |
38 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$454.64 |
| D1310 |
|
25 |
24 |
$148.89 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$122.00 |
| D4910 |
|
311 |
274 |
$106.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$0.00 |