NEW HAVEN PUBLIC SCHOOLS
NPI: 1336518034
· NEW HAVEN, CT 06511
· Dental Clinic/Center
· NPI assigned 09/23/2015
$526K
Total Medicaid Paid
Provider Details
| Authorized Official | PETERS, SUSAN (DIRECTOR SCHOOL HEALTH CENTERS) |
| NPI Enumeration Date | 09/23/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,316 |
$95K |
| 2019 |
4,657 |
$106K |
| 2020 |
1,195 |
$31K |
| 2021 |
2,994 |
$61K |
| 2022 |
2,040 |
$42K |
| 2023 |
4,397 |
$102K |
| 2024 |
3,605 |
$89K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
4,755 |
4,257 |
$159K |
| D0602 |
|
7,142 |
6,897 |
$129K |
| D1206 |
Topical application of fluoride varnish |
4,073 |
3,593 |
$85K |
| D0603 |
|
1,838 |
1,730 |
$31K |
| D1351 |
Sealant - per tooth |
1,084 |
296 |
$28K |
| D0272 |
Bitewings - two radiographic images |
1,108 |
992 |
$27K |
| D0601 |
|
1,309 |
1,294 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
717 |
691 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
232 |
211 |
$12K |
| D0274 |
Bitewings - four radiographic images |
238 |
223 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
353 |
284 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
289 |
197 |
$3K |
| D1320 |
|
66 |
58 |
$331.24 |