TOOTH FAIRIES INC
NPI: 1376774828
· POLAND, ME 04274
· Public Health or Welfare Agency
· NPI assigned 07/31/2009
Provider Details
| Authorized Official | MAROON, DOROTHY (DENTAL HYGIENIST) |
| NPI Enumeration Date | 07/31/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
719 |
$10K |
| 2019 |
589 |
$9K |
| 2020 |
421 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
929 |
130 |
$11K |
| D1120 |
Prophylaxis - child |
315 |
310 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
438 |
429 |
$5K |
| D1110 |
Prophylaxis - adult |
25 |
24 |
$880.00 |
| D1330 |
|
22 |
19 |
$195.00 |