MASSACHUSETTS DENTAL PROFESSIONALS, P.C.
NPI: 1336394006
· BREWSTER, MA 02631
· Dentist
· NPI assigned 11/23/2008
Provider Details
| Authorized Official | PRUEMER, HEATHER (CREDENTIALING TEAM LEAD) |
| Parent Organization | MASSACHUSETTS DENTAL PROFESSIONALS, P.C. |
| NPI Enumeration Date | 11/23/2008 |
Related Entities
Other providers sharing the same authorized official: PRUEMER, HEATHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
75 |
$3K |
| 2019 |
359 |
$32K |
| 2020 |
87 |
$3K |
| 2021 |
119 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
23 |
12 |
$15K |
| D1110 |
Prophylaxis - adult |
206 |
196 |
$10K |
| D4910 |
|
60 |
60 |
$4K |
| D1206 |
Topical application of fluoride varnish |
159 |
149 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
117 |
115 |
$3K |
| D2950 |
|
16 |
12 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
31 |
31 |
$2K |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$436.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$214.22 |