NORTHWESTERN DENTAL
NPI: 1407354095
· WINSTED, CT 06098
· General Practice Dentistry
· NPI assigned 01/29/2018
Provider Details
| Authorized Official | POULIN, HEATHER (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 01/29/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$360.64 |
| 2019 |
88 |
$3K |
| 2020 |
16 |
$631.12 |
| 2021 |
110 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
143 |
128 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$1K |
| D1206 |
Topical application of fluoride varnish |
31 |
27 |
$767.34 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
14 |
$700.70 |