HARBOR DENTAL ASSOCIATES P.C.
NPI: 1417548116
· PROVINCETOWN, MA 02657
· General Practice Dentistry
· NPI assigned 01/27/2021
$275K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: RODRIGUEZ, JORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
267 |
$13K |
| 2023 |
1,426 |
$169K |
| 2024 |
1,040 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2740 |
Crown - porcelain/ceramic |
244 |
127 |
$173K |
| D1110 |
Prophylaxis - adult |
475 |
462 |
$25K |
| D9110 |
|
584 |
492 |
$20K |
| D0210 |
Intraoral - complete series of radiographic images |
180 |
174 |
$13K |
| D2950 |
|
73 |
40 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
235 |
227 |
$9K |
| D9450 |
|
288 |
240 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
458 |
402 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
105 |
102 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
25 |
12 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
24 |
13 |
$1K |
| D3120 |
|
25 |
13 |
$850.00 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$542.00 |