NPI: 1568764595 · HAMPDEN, ME 04444 · Dental Hygienist · NPI assigned 11/24/2010
| Authorized Official | WADE, ALISSA (PRESIDENT) |
| NPI Enumeration Date | 11/24/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,111 | $72K |
| 2019 | 3,409 | $63K |
| 2020 | 2,666 | $45K |
| 2021 | 6,015 | $108K |
| 2022 | 8,425 | $208K |
| 2023 | 12,769 | $386K |
| 2024 | 10,830 | $368K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 19,941 | 3,133 | $449K |
| D1120 | Prophylaxis - child | 5,823 | 5,643 | $232K |
| D1206 | Topical application of fluoride varnish | 7,678 | 7,444 | $142K |
| D2940 | 2,420 | 858 | $110K | |
| D0190 | 4,150 | 3,961 | $84K | |
| D1110 | Prophylaxis - adult | 1,457 | 1,420 | $83K |
| D1354 | 3,147 | 959 | $80K | |
| D0191 | 2,049 | 2,013 | $29K | |
| D1310 | 1,100 | 1,081 | $26K | |
| D0274 | Bitewings - four radiographic images | 296 | 292 | $12K |
| D1330 | 125 | 121 | $2K | |
| D0330 | Panoramic radiographic image | 15 | 15 | $1K |
| D1355 | 24 | 12 | $492.96 |