NPI: 1326274051 · LEWISTON, ME 04240 · Dental Hygienist · NPI assigned 06/09/2009
| Authorized Official | RAY, AMANDA (PRACTICE ADMIN) |
| NPI Enumeration Date | 06/09/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21,460 | $310K |
| 2019 | 20,332 | $278K |
| 2020 | 2,765 | $44K |
| 2022 | 6,351 | $163K |
| 2023 | 20,857 | $643K |
| 2024 | 16,423 | $580K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 48,576 | 5,623 | $915K |
| D1120 | Prophylaxis - child | 8,853 | 7,648 | $281K |
| D2940 | 3,819 | 901 | $207K | |
| D1208 | Topical application of fluoride, excluding varnish | 11,873 | 10,280 | $173K |
| D0190 | 5,179 | 4,753 | $102K | |
| D1110 | Prophylaxis - adult | 2,025 | 1,796 | $90K |
| D1310 | 3,740 | 3,637 | $87K | |
| D9920 | 1,027 | 980 | $67K | |
| D9410 | 835 | 690 | $36K | |
| D4355 | 221 | 211 | $22K | |
| D1330 | 1,393 | 1,238 | $20K | |
| D1354 | 390 | 100 | $11K | |
| D4341 | 30 | 13 | $5K | |
| D1206 | Topical application of fluoride varnish | 129 | 129 | $3K |
| D9997 | 32 | 32 | $0.00 | |
| D9310 | 14 | 13 | $0.00 | |
| D9986 | 27 | 25 | $0.00 | |
| D9932 | 25 | 20 | $0.00 |