DR DENTAL OF SAUGUS PC
NPI: 1386157444
· SAUGUS, MA 01906
· Dental Clinic/Center
· NPI assigned 11/13/2017
Provider Details
| Authorized Official | CHAMPAGNE, SHEILA (ACCOUNTS PAYABLE) |
| NPI Enumeration Date | 11/13/2017 |
Related Entities
Other providers sharing the same authorized official: CHAMPAGNE, SHEILA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
439 |
$21K |
| 2019 |
417 |
$16K |
| 2020 |
189 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
380 |
357 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
307 |
293 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
77 |
75 |
$5K |
| D0274 |
Bitewings - four radiographic images |
67 |
66 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
42 |
13 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
101 |
90 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
31 |
26 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
24 |
$667.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$200.00 |