MONTSHIRE DUBLIN PC
NPI: 1528810082
· DUBLIN, NH 03444
· Pediatric Dentist
· NPI assigned 04/05/2024
$110K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: NORRIS, JONATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
3,450 |
$110K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
1,045 |
177 |
$34K |
| D1351 |
Sealant - per tooth |
1,000 |
152 |
$33K |
| D2940 |
|
211 |
72 |
$12K |
| D1120 |
Prophylaxis - child |
324 |
303 |
$12K |
| D1206 |
Topical application of fluoride varnish |
356 |
335 |
$7K |
| D0272 |
Bitewings - two radiographic images |
152 |
142 |
$5K |
| D0274 |
Bitewings - four radiographic images |
97 |
92 |
$4K |
| D1110 |
Prophylaxis - adult |
66 |
61 |
$4K |
| D0603 |
|
199 |
177 |
$0.00 |