NY DENTAL PC
NPI: 1356704266
· BURLINGTON, MA 01803
· Dental Clinic/Center
· NPI assigned 03/30/2016
$224K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
608 |
$23K |
| 2019 |
751 |
$29K |
| 2020 |
1,132 |
$26K |
| 2021 |
1,582 |
$46K |
| 2022 |
929 |
$34K |
| 2023 |
975 |
$37K |
| 2024 |
710 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,234 |
2,183 |
$113K |
| D0120 |
Periodic oral evaluation - established patient |
1,735 |
1,698 |
$38K |
| D0274 |
Bitewings - four radiographic images |
1,137 |
1,109 |
$37K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
390 |
382 |
$16K |
| D0330 |
Panoramic radiographic image |
244 |
234 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
71 |
28 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
110 |
108 |
$4K |
| D1120 |
Prophylaxis - child |
14 |
13 |
$612.00 |
| D1999 |
|
752 |
574 |
$0.00 |