42 NORTH DENTAL CARE PLLC
NPI: 1326692385
· SOUTHBURY, CT 06488
· Dental Clinic/Center
· NPI assigned 07/29/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SCIALABBA, MICHAEL controls 13+ related entities in our dataset. Read more
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SCIALABBA, MICHAEL (CHIEF CLINICAL OFFICER) |
| Parent Organization | 42 NORTH DENTAL CARE PLLC |
| NPI Enumeration Date | 07/29/2019 |
Related Entities
Other providers sharing the same authorized official: SCIALABBA, MICHAEL
| Provider | City | State | Total Paid |
|---|
| 42 NORTH DENTAL CARE, LLC |
WALTHAM |
MA |
$2.23M |
| 42 NORTH DENTAL CARE, LLC |
MANSFIELD |
MA |
$1.17M |
| 42 NORTH DENTAL CARE, LLC |
WATERTOWN |
MA |
$339K |
| 42 NORTH DENTAL CARE, LLC |
CAMBRIDGE |
MA |
$138K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC |
BLISSFIELD |
MI |
$70K |
| 42 NORTH DENTAL CARE, LLC |
BROOKLINE |
MA |
$40K |
| 42 NORTH DENTAL CARE OF INDIANA, LLC |
MUNCIE |
IN |
$36K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC |
ALMONT |
MI |
$27K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC |
CHARLOTTE |
MI |
$16K |
| 42 NORTH DENTAL ORAL SURGERY OF MA, PLLC |
QUINCY |
MA |
$15K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC |
HOWELL |
MI |
$3K |
| 42 NORTH DENTAL CARE PLLC |
WATERBURY |
CT |
$0.00 |
| 42 NORTH DENTAL CARE PLLC |
MANCHESTER |
CT |
$0.00 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
451 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
18 |
17 |
$0.00 |
| D1120 |
Prophylaxis - child |
145 |
143 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
30 |
30 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
138 |
137 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
120 |
119 |
$0.00 |