UNION DENTAL RANDOLPH LLC
NPI: 1306203971
· RANDOLPH, MA 02368
· Dentist
· NPI assigned 01/26/2016
Provider Details
| Authorized Official | TONG, TONY (PRESIDENT) |
| Parent Organization | TONY TONG PC |
| NPI Enumeration Date | 01/26/2016 |
Related Entities
Other providers sharing the same authorized official: TONG, TONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,113 |
$34K |
| 2019 |
94 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
284 |
279 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
316 |
310 |
$7K |
| D0274 |
Bitewings - four radiographic images |
105 |
102 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
120 |
119 |
$3K |
| D1120 |
Prophylaxis - child |
46 |
45 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
127 |
118 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
43 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
153 |
74 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$469.00 |