BERKSHIRE PEDIATRIC DENTISTRY SPECIALISTS, PC
NPI: 1326887357
· PITTSFIELD, MA 01201
· Pediatric Dentist
· NPI assigned 05/20/2024
Provider Details
| Authorized Official | WILSON, LOGAN (PRESIDENT) |
| NPI Enumeration Date | 05/20/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,939 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9450 |
|
772 |
605 |
$19K |
| D1120 |
Prophylaxis - child |
399 |
381 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
447 |
422 |
$9K |
| D1206 |
Topical application of fluoride varnish |
464 |
439 |
$9K |
| D0274 |
Bitewings - four radiographic images |
63 |
61 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
118 |
111 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
93 |
77 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$564.00 |
| D0603 |
|
570 |
487 |
$0.00 |