JOHN J. CARAVOLAS, D.D.S., P.C.
NPI: 1548387251
· WALTHAM, MA 02453
· Pediatric Dentist
· NPI assigned 03/26/2007
$163K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,680 |
$56K |
| 2019 |
1,560 |
$51K |
| 2020 |
1,097 |
$33K |
| 2021 |
695 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,045 |
982 |
$49K |
| D0120 |
Periodic oral evaluation - established patient |
1,613 |
1,500 |
$42K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,536 |
1,421 |
$33K |
| D1110 |
Prophylaxis - adult |
566 |
523 |
$33K |
| D1206 |
Topical application of fluoride varnish |
133 |
131 |
$3K |
| D0272 |
Bitewings - two radiographic images |
111 |
98 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
28 |
24 |
$950.00 |