MARIA C EVANGELISTI, DMD, PC
NPI: 1487976791
· LEXINGTON, MA 02421
· Pediatric Dentist
· NPI assigned 03/01/2010
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
366 |
$12K |
| 2019 |
463 |
$14K |
| 2020 |
260 |
$7K |
| 2021 |
416 |
$13K |
| 2022 |
286 |
$9K |
| 2023 |
481 |
$15K |
| 2024 |
46 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
559 |
555 |
$27K |
| D1206 |
Topical application of fluoride varnish |
991 |
986 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
756 |
752 |
$20K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$490.00 |