BICENTENNIAL DENTAL P.C.
NPI: 1336273275
· SPRINGFIELD, MA 01118
· General Practice Dentistry
· NPI assigned 03/15/2007
Provider Details
| Authorized Official | DARABI, DARA (PRESIDENT) |
| NPI Enumeration Date | 03/15/2007 |
Related Entities
Other providers sharing the same authorized official: DARABI, DARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
777 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
238 |
215 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
237 |
213 |
$5K |
| D0274 |
Bitewings - four radiographic images |
88 |
82 |
$3K |
| D1120 |
Prophylaxis - child |
59 |
52 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
58 |
46 |
$1K |
| D1206 |
Topical application of fluoride varnish |
51 |
51 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
12 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$478.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
14 |
$444.00 |