PEOPLESDENTAL, P.C.
NPI: 1316500606
· CROMWELL, CT 06416
· Dentist
· NPI assigned 04/22/2019
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MAYLOTT, LEAH (CREDENTIALING ADMINISTRATOR) |
| Parent Organization | PEOPLESDENTAL, P.C. |
| NPI Enumeration Date | 04/22/2019 |
Related Entities
Other providers sharing the same authorized official: MAYLOTT, LEAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
150 |
$0.00 |
| 2023 |
15 |
$0.00 |
| 2024 |
60 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0140 |
Limited oral evaluation - problem focused |
69 |
69 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
67 |
66 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$0.00 |
| D1110 |
Prophylaxis - adult |
50 |
50 |
$0.00 |