CONGALTON, DAVID
NPI: 1407847916
· VERGENNES, VT 05491
· Dentist
· NPI assigned 11/03/2005
$176K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
994 |
$28K |
| 2019 |
918 |
$25K |
| 2020 |
604 |
$17K |
| 2021 |
939 |
$26K |
| 2022 |
780 |
$24K |
| 2023 |
824 |
$32K |
| 2024 |
561 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,544 |
1,483 |
$75K |
| D0120 |
Periodic oral evaluation - established patient |
2,192 |
2,105 |
$57K |
| D0274 |
Bitewings - four radiographic images |
587 |
564 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,008 |
986 |
$18K |
| D1120 |
Prophylaxis - child |
272 |
251 |
$8K |
| 0120 |
|
17 |
16 |
$0.00 |