GREENWICH DENTAL GROUP, LLC
NPI: 1396169272
· GREENWICH, CT 06830
· General Practice Dentistry
· NPI assigned 02/12/2014
Provider Details
| Authorized Official | HUNT, MARI (OFFICE MANAGER) |
| NPI Enumeration Date | 02/12/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
104 |
$2K |
| 2021 |
12 |
$341.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
35 |
28 |
$946.68 |
| D1206 |
Topical application of fluoride varnish |
45 |
38 |
$907.44 |
| D0120 |
Periodic oral evaluation - established patient |
36 |
29 |
$788.90 |