TODAYS DENTAL OF BOXBOROUGH
NPI: 1457564007
· BOXBOROUGH, MA 01719
· Dentist
· NPI assigned 05/08/2007
$112K
Total Medicaid Paid
2,948
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,846 |
$67K |
| 2019 |
1,247 |
$45K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
777 |
760 |
$38K |
| D1208 |
Topical application of fluoride, excluding varnish |
904 |
886 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
864 |
847 |
$24K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
84 |
28 |
$10K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
322 |
288 |
$6K |
| D1110 |
Prophylaxis - adult |
73 |
70 |
$5K |
| D0274 |
Bitewings - four radiographic images |
43 |
43 |
$2K |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$780.00 |