PEDIATRIC DENTISTRY, P.C.
NPI: 1396898847
· NEW BRITAIN, CT 06052
· Pediatric Dentist
· NPI assigned 01/19/2007
Provider Details
| Authorized Official | THAL, WALTER (PRESIDENT) |
| NPI Enumeration Date | 01/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
935 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
254 |
250 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
263 |
259 |
$8K |
| D1206 |
Topical application of fluoride varnish |
259 |
253 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
26 |
14 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
23 |
15 |
$2K |
| D0272 |
Bitewings - two radiographic images |
53 |
53 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
22 |
19 |
$1K |
| D9920 |
|
21 |
18 |
$821.74 |
| D1110 |
Prophylaxis - adult |
14 |
12 |
$299.52 |