PRICELESS DENTAL CARE P.C.
NPI: 1558618025
· PROSPECT, CT 06712
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/14/2012
$129K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SOCARRAS, EFRAIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,509 |
$97K |
| 2019 |
979 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
137 |
136 |
$34K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
236 |
45 |
$25K |
| D0140 |
Limited oral evaluation - problem focused |
480 |
461 |
$13K |
| D1120 |
Prophylaxis - child |
284 |
282 |
$13K |
| D9222 |
|
110 |
110 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
338 |
330 |
$9K |
| D1110 |
Prophylaxis - adult |
204 |
199 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
224 |
222 |
$6K |
| D0330 |
Panoramic radiographic image |
92 |
90 |
$5K |
| D0274 |
Bitewings - four radiographic images |
146 |
146 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
222 |
206 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$835.90 |