DENTAL-WEST, LLC
NPI: 1538561931
· WEST SPRINGFIELD, MA 01089
· General Practice Dentistry
· NPI assigned 09/17/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
245 |
$8K |
| 2020 |
265 |
$9K |
| 2021 |
236 |
$8K |
| 2022 |
269 |
$10K |
| 2023 |
310 |
$12K |
| 2024 |
294 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
745 |
728 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
833 |
818 |
$19K |
| D0180 |
|
14 |
14 |
$581.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
14 |
$359.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$312.00 |