CLOVERLEAF DENTAL CENTER, LLC
NPI: 1407922081
· MERIDEN, CT 06450
· General Practice Dentistry
· NPI assigned 11/27/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
872 |
$29K |
| 2019 |
590 |
$20K |
| 2020 |
659 |
$14K |
| 2021 |
130 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
653 |
644 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
632 |
619 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
592 |
586 |
$15K |
| D0274 |
Bitewings - four radiographic images |
103 |
103 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
36 |
24 |
$3K |
| D1999 |
|
235 |
190 |
$0.00 |