VISITINGDENTAL ASSOCIATES OF MA LLC
NPI: 1528477320
· MIDDLEBORO, MA 02346
· Public Health Dentist
· NPI assigned 08/05/2014
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | GRINHAM, CATHY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 08/05/2014 |
Related Entities
Other providers sharing the same authorized official: GRINHAM, CATHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,686 |
$56K |
| 2019 |
2,291 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1351 |
Sealant - per tooth |
1,038 |
359 |
$41K |
| D0190 |
|
1,233 |
1,216 |
$33K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,142 |
1,140 |
$33K |
| D1120 |
Prophylaxis - child |
505 |
501 |
$24K |
| D9410 |
|
46 |
46 |
$2K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$588.00 |