NPI: 1568900884 · WESTFORD, MA 01886 · Dentist · NPI assigned 02/07/2017
| Authorized Official | DAMERA, MADHURIMA (PRESIDENT) |
| NPI Enumeration Date | 02/07/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $801.00 |
| 2019 | 53 | $2K |
| 2020 | 310 | $9K |
| 2021 | 355 | $10K |
| 2022 | 489 | $15K |
| 2023 | 878 | $26K |
| 2024 | 668 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 855 | 830 | $45K |
| D0120 | Periodic oral evaluation - established patient | 580 | 572 | $13K |
| D0274 | Bitewings - four radiographic images | 285 | 277 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 630 | 593 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 401 | 382 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27 | 27 | $1K |