QUINCY DENTAL CARE PC
NPI: 1366072795
· QUINCY, MA 02169
· Dental Clinic/Center
· NPI assigned 01/24/2020
Provider Details
| Authorized Official | LHO, HAN (DENTIST) |
| NPI Enumeration Date | 01/24/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
50 |
$1K |
| 2021 |
134 |
$5K |
| 2022 |
230 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
198 |
180 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
61 |
59 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
103 |
89 |
$2K |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$372.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$180.00 |