ASHLAND ELITE DENTAL PLLC
NPI: 1558991778
· ASHLAND, MA 01721
· General Practice Dentistry
· NPI assigned 01/16/2020
$812K
Total Medicaid Paid
Provider Details
| Authorized Official | MASSABNI, EDMOND (DENTAL DIRECTOR) |
| NPI Enumeration Date | 01/16/2020 |
Related Entities
Other providers sharing the same authorized official: MASSABNI, EDMOND
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
112 |
$66K |
| 2022 |
682 |
$211K |
| 2023 |
1,449 |
$395K |
| 2024 |
396 |
$140K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
500 |
426 |
$346K |
| D2740 |
Crown - porcelain/ceramic |
433 |
188 |
$299K |
| D2950 |
|
446 |
209 |
$70K |
| D3320 |
|
82 |
69 |
$44K |
| D1110 |
Prophylaxis - adult |
500 |
481 |
$26K |
| D0210 |
Intraoral - complete series of radiographic images |
168 |
162 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
241 |
228 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
90 |
81 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
128 |
127 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
51 |
44 |
$672.00 |