MASSICOTTE, ALLEN
NPI: 1487730297
· WATERBURY, CT 06708
· General Practice Dentistry
· NPI assigned 10/27/2006
$273K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,378 |
$46K |
| 2019 |
2,305 |
$44K |
| 2020 |
1,998 |
$34K |
| 2021 |
2,197 |
$40K |
| 2022 |
2,206 |
$39K |
| 2023 |
1,921 |
$38K |
| 2024 |
1,828 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
6,385 |
2,149 |
$74K |
| D0120 |
Periodic oral evaluation - established patient |
1,950 |
1,893 |
$47K |
| D0274 |
Bitewings - four radiographic images |
1,465 |
1,428 |
$46K |
| D1110 |
Prophylaxis - adult |
1,120 |
1,090 |
$38K |
| D0220 |
Intraoral - periapical first radiographic image |
2,548 |
2,262 |
$32K |
| D1120 |
Prophylaxis - child |
441 |
435 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
907 |
872 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
12 |
$399.00 |