CHILDREN'S DENTAL CENTER OF NEW HAMPSHIRE
NPI: 1346205820
· AMHERST, NH 03031
· Pediatric Dentist
· NPI assigned 04/19/2006
$298K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,077 |
$65K |
| 2019 |
1,954 |
$55K |
| 2020 |
1,497 |
$43K |
| 2021 |
1,773 |
$52K |
| 2022 |
1,475 |
$45K |
| 2023 |
883 |
$27K |
| 2024 |
304 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,401 |
3,284 |
$100K |
| D1120 |
Prophylaxis - child |
2,019 |
1,956 |
$74K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,326 |
3,209 |
$59K |
| D1110 |
Prophylaxis - adult |
890 |
856 |
$44K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
162 |
110 |
$16K |
| D0272 |
Bitewings - two radiographic images |
149 |
145 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
16 |
14 |
$565.46 |