NPI: 1538541727 · FRYEBURG, ME 04037 · Dental Hygienist · NPI assigned 06/24/2015
| Authorized Official | KOZAK, BERNADETTE (OWNER/OPERATOR) |
| NPI Enumeration Date | 06/24/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,606 | $20K |
| 2019 | 1,663 | $18K |
| 2020 | 1,143 | $13K |
| 2021 | 1,197 | $16K |
| 2022 | 1,222 | $22K |
| 2023 | 1,656 | $41K |
| 2024 | 2,760 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 2,622 | 366 | $54K |
| D1110 | Prophylaxis - adult | 759 | 752 | $44K |
| D1208 | Topical application of fluoride, excluding varnish | 2,260 | 2,227 | $41K |
| D1120 | Prophylaxis - child | 885 | 874 | $33K |
| D0190 | 2,229 | 2,210 | $28K | |
| D1330 | 392 | 382 | $5K | |
| D1310 | 105 | 105 | $3K | |
| D4910 | 12 | 12 | $1K | |
| D0602 | 1,983 | 1,965 | $0.00 |