NPI: 1538735584 · CHICOPEE, MA 01020 · General Practice Dentistry · NPI assigned 06/01/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 320 | $3K |
| 2024 | 48 | $343.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 53 | 53 | $2K |
| D1120 | Prophylaxis - child | 26 | 26 | $1K |
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $275.00 |
| D0220 | Intraoral - periapical first radiographic image | 14 | 14 | $70.00 |
| D1330 | 41 | 40 | $0.00 | |
| D1310 | 29 | 28 | $0.00 | |
| D1999 | 192 | 175 | $0.00 |