RHODE ISLAND CHILDRENS DENTISTRY
NPI: 1427586775
· COVENTRY, RI 02816
· Pediatric Dentist
· NPI assigned 05/31/2017
$417K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GORDON, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,394 |
$85K |
| 2022 |
3,688 |
$133K |
| 2023 |
3,242 |
$115K |
| 2024 |
2,255 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
3,349 |
3,310 |
$175K |
| D1206 |
Topical application of fluoride varnish |
3,545 |
3,503 |
$96K |
| D0120 |
Periodic oral evaluation - established patient |
3,130 |
3,090 |
$94K |
| D0272 |
Bitewings - two radiographic images |
945 |
933 |
$29K |
| D1351 |
Sealant - per tooth |
144 |
41 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
90 |
89 |
$5K |
| D1110 |
Prophylaxis - adult |
64 |
63 |
$4K |
| D0330 |
Panoramic radiographic image |
27 |
27 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
22 |
12 |
$2K |
| D0274 |
Bitewings - four radiographic images |
36 |
36 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
83 |
73 |
$1K |
| D0240 |
|
104 |
81 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
40 |
$789.00 |