BELFAST DENTAL CARE, LLC
NPI: 1356747331
· BELFAST, ME 04915
· General Practice Dentistry
· NPI assigned 11/18/2014
Provider Details
| Authorized Official | PIPER, ALLISON (OWNER) |
| NPI Enumeration Date | 11/18/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
829 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
224 |
168 |
$5K |
| D1206 |
Topical application of fluoride varnish |
305 |
229 |
$3K |
| D1110 |
Prophylaxis - adult |
101 |
72 |
$2K |
| D1351 |
Sealant - per tooth |
98 |
13 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
62 |
43 |
$1K |
| D0274 |
Bitewings - four radiographic images |
24 |
12 |
$240.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
13 |
$165.00 |