NORTHEAST DENTAL PARTNERS, PA
NPI: 1497250740
· BREWER, ME 04412
· General Practice Dentistry
· NPI assigned 03/28/2018
Provider Details
| Authorized Official | CABRAL, MICHAEL (VICE PRESIDENT) |
| NPI Enumeration Date | 03/28/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
19 |
$380.00 |
| 2020 |
26 |
$960.00 |
| 2021 |
65 |
$1K |
| 2022 |
44 |
$2K |
| 2023 |
105 |
$5K |
| 2024 |
12 |
$588.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
108 |
104 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
75 |
74 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
50 |
50 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$120.00 |