MONTAGUE DENTAL ARTS
NPI: 1548646482
· TURNERS FALLS, MA 01376
· Dental Clinic/Center
· NPI assigned 08/03/2015
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | SHOKEEN, GEETU (GENERAL DENTIST) |
| NPI Enumeration Date | 08/03/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
18 |
$777.00 |
| 2021 |
137 |
$6K |
| 2022 |
955 |
$25K |
| 2023 |
1,383 |
$71K |
| 2024 |
1,188 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
98 |
56 |
$62K |
| D9450 |
|
2,232 |
1,897 |
$51K |
| D1110 |
Prophylaxis - adult |
858 |
846 |
$46K |
| D0220 |
Intraoral - periapical first radiographic image |
366 |
339 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
57 |
57 |
$3K |
| D0274 |
Bitewings - four radiographic images |
39 |
39 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18 |
12 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
12 |
$908.00 |