CHICOPEE FAMILY DENTAL, LLC
NPI: 1417350158
· CHICOPEE, MA 01020
· Dentist
· NPI assigned 10/08/2014
Provider Details
Related Entities
Other providers sharing the same authorized official: CORMIER, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
497 |
$20K |
| 2019 |
333 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
436 |
395 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
265 |
224 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
37 |
37 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
40 |
$2K |
| D1120 |
Prophylaxis - child |
13 |
12 |
$612.00 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$546.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$312.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$160.00 |