NORWICH FAMILY DENTAL ASSOCIATES
NPI: 1386755742
· NORWICH, CT 06360
· General Practice Dentistry
· NPI assigned 08/31/2006
$142K
Total Medicaid Paid
Provider Details
| Authorized Official | SNAYD, RICHARD (PARTNER) |
| NPI Enumeration Date | 08/31/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
638 |
$17K |
| 2019 |
835 |
$24K |
| 2020 |
699 |
$19K |
| 2021 |
724 |
$19K |
| 2022 |
814 |
$23K |
| 2023 |
887 |
$25K |
| 2024 |
445 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,838 |
1,766 |
$43K |
| D1110 |
Prophylaxis - adult |
1,123 |
1,069 |
$36K |
| D0274 |
Bitewings - four radiographic images |
676 |
661 |
$21K |
| D1120 |
Prophylaxis - child |
479 |
470 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
857 |
833 |
$20K |
| D0220 |
Intraoral - periapical first radiographic image |
52 |
49 |
$552.33 |
| D1999 |
|
17 |
16 |
$0.00 |