MAIN STREET FAMILY DENTISTRY, PC
NPI: 1487678876
· MONTPELIER, VT 05602
· General Practice Dentistry
· NPI assigned 07/27/2006
Provider Details
| Authorized Official | LANSKY, CASSANDRA (OWNER/PRESIDENT) |
| NPI Enumeration Date | 07/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
523 |
$15K |
| 2019 |
555 |
$15K |
| 2020 |
477 |
$12K |
| 2021 |
307 |
$9K |
| 2022 |
240 |
$8K |
| 2023 |
228 |
$9K |
| 2024 |
226 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
950 |
894 |
$46K |
| D0120 |
Periodic oral evaluation - established patient |
531 |
484 |
$13K |
| D1206 |
Topical application of fluoride varnish |
651 |
578 |
$11K |
| D1120 |
Prophylaxis - child |
341 |
297 |
$9K |
| D0274 |
Bitewings - four radiographic images |
83 |
75 |
$2K |