MGDA
NPI: 1457793291
· WATERBURY, CT 06708
· Preferred Provider Organization
· NPI assigned 07/22/2013
Provider Details
Related Entities
Other providers sharing the same authorized official: GREENWALD, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
15 |
$383.60 |
| 2019 |
27 |
$660.10 |
| 2022 |
29 |
$680.06 |
| 2023 |
57 |
$1K |
| 2024 |
14 |
$273.35 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
99 |
93 |
$2K |
| D1110 |
Prophylaxis - adult |
43 |
38 |
$1K |