CHELSEA DENTAL ASSOCIATES
NPI: 1558617118
· CHELSEA, MA 02150
· Dental Clinic/Center
· NPI assigned 07/31/2012
$121K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
621 |
$21K |
| 2019 |
553 |
$19K |
| 2020 |
256 |
$8K |
| 2021 |
537 |
$17K |
| 2022 |
776 |
$23K |
| 2023 |
562 |
$19K |
| 2024 |
351 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,537 |
1,462 |
$74K |
| D0120 |
Periodic oral evaluation - established patient |
1,741 |
1,661 |
$37K |
| D1208 |
Topical application of fluoride, excluding varnish |
106 |
106 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
28 |
28 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
132 |
109 |
$2K |
| D0274 |
Bitewings - four radiographic images |
73 |
52 |
$2K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$710.00 |