DAVID S WALD DMD
NPI: 1487720223
· NORTHBOROUGH, MA 01532
· Pediatric Dentist
· NPI assigned 11/24/2006
$234K
Total Medicaid Paid
Provider Details
| Authorized Official | WALD, DAVID (DENTIST OWNER) |
| NPI Enumeration Date | 11/24/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,800 |
$149K |
| 2019 |
2,707 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
969 |
953 |
$52K |
| D1120 |
Prophylaxis - child |
881 |
861 |
$41K |
| D0120 |
Periodic oral evaluation - established patient |
1,587 |
1,559 |
$39K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,229 |
1,206 |
$33K |
| D0272 |
Bitewings - two radiographic images |
1,226 |
1,199 |
$31K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
230 |
121 |
$19K |
| D0210 |
Intraoral - complete series of radiographic images |
178 |
178 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
149 |
140 |
$2K |
| D0180 |
|
42 |
42 |
$2K |
| D9110 |
|
16 |
14 |
$696.00 |