TRUSTEES OF TUFTS UNIVERSITY
NPI: 1467755702
· GROTON, MA 01450
· Dental Clinic/Center
· NPI assigned 12/08/2010
$574K
Total Medicaid Paid
Provider Details
| Authorized Official | DRAG, DARREN (DIRECTOR OF CLINICAL OPERATIONS) |
| NPI Enumeration Date | 12/08/2010 |
Related Entities
Other providers sharing the same authorized official: DRAG, DARREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,964 |
$153K |
| 2019 |
3,829 |
$186K |
| 2020 |
718 |
$36K |
| 2022 |
584 |
$7K |
| 2023 |
1,613 |
$84K |
| 2024 |
2,149 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
4,505 |
3,966 |
$301K |
| D1110 |
Prophylaxis - adult |
3,723 |
3,385 |
$164K |
| D1206 |
Topical application of fluoride varnish |
3,655 |
3,506 |
$89K |
| D0120 |
Periodic oral evaluation - established patient |
890 |
857 |
$17K |
| D9248 |
|
72 |
70 |
$3K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$561.00 |