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MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
NPI: 1396062246
· DANVERS, MA 01923
· Dentist
· NPI assigned 04/30/2010
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | LAU, AGNES (CHIEF, MGH DIVISION OF DENTISTRY) |
| Parent Organization | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION DBA MGH DENTAL GROUP |
| NPI Enumeration Date | 04/30/2010 |
Related Entities
Other providers sharing the same authorized official: LAU, AGNES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,509 |
$41K |
| 2019 |
1,302 |
$37K |
| 2020 |
515 |
$16K |
| 2021 |
112 |
$4K |
| 2022 |
247 |
$8K |
| 2023 |
122 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,067 |
956 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
1,256 |
1,125 |
$25K |
| D1120 |
Prophylaxis - child |
434 |
391 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
482 |
408 |
$9K |
| D1206 |
Topical application of fluoride varnish |
429 |
355 |
$7K |
| D9920 |
|
44 |
40 |
$3K |
| D0274 |
Bitewings - four radiographic images |
70 |
65 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$828.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$481.00 |