PEDIATRIC DENTAL SPECIALIST OF NEEDHAM
NPI: 1356998116
· NEEDHAM, MA 02494
· Dental Clinic/Center
· NPI assigned 08/26/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
36 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$612.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$348.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$312.00 |