COPPE PEDIATRIC DENTAL LLC
NPI: 1558782409
· LEXINGTON, MA 02421
· Pediatric Dentist
· NPI assigned 12/19/2013
Provider Details
| Authorized Official | COPPE, CAROLYN (DENTIST/OWNER) |
| NPI Enumeration Date | 12/19/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
531 |
$14K |
| 2019 |
302 |
$6K |
| 2020 |
413 |
$9K |
| 2021 |
608 |
$12K |
| 2022 |
704 |
$18K |
| 2023 |
772 |
$18K |
| 2024 |
770 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,691 |
1,640 |
$37K |
| D1206 |
Topical application of fluoride varnish |
1,843 |
1,785 |
$35K |
| D1120 |
Prophylaxis - child |
317 |
313 |
$15K |
| D1110 |
Prophylaxis - adult |
237 |
225 |
$10K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$352.00 |