DR JOHN RICCI DMD DBA CHARLES STREET DENTAL
NPI: 1528325693
· NORTH PROVIDENCE, RI 02904
· General Practice Dentistry
· NPI assigned 04/13/2012
$1.49M
Total Medicaid Paid
Provider Details
| Authorized Official | RICCI, JOHN (OWNER) |
| NPI Enumeration Date | 04/13/2012 |
Related Entities
Other providers sharing the same authorized official: RICCI, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,588 |
$185K |
| 2019 |
7,661 |
$395K |
| 2020 |
1,323 |
$56K |
| 2023 |
3,584 |
$325K |
| 2024 |
5,513 |
$529K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,832 |
1,662 |
$656K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,577 |
1,194 |
$242K |
| D0330 |
Panoramic radiographic image |
2,511 |
2,479 |
$118K |
| D0140 |
Limited oral evaluation - problem focused |
4,859 |
4,601 |
$112K |
| D5212 |
|
373 |
371 |
$83K |
| D5110 |
|
212 |
212 |
$66K |
| D5211 |
|
278 |
278 |
$63K |
| D9110 |
|
1,162 |
1,128 |
$45K |
| D5120 |
|
92 |
92 |
$29K |
| D1110 |
Prophylaxis - adult |
944 |
936 |
$28K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,304 |
1,298 |
$25K |
| D0274 |
Bitewings - four radiographic images |
397 |
396 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
526 |
520 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
316 |
295 |
$4K |
| D2332 |
|
48 |
27 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
182 |
127 |
$2K |
| D2140 |
|
43 |
31 |
$1K |
| D2160 |
|
13 |
12 |
$598.00 |