CAMBRIDGE CHILDREN'S DENTISTRY PC
NPI: 1578823902
· CAMBRIDGE, MA 02138
· Pediatric Dentist
· NPI assigned 05/18/2012
$298K
Total Medicaid Paid
Provider Details
| Authorized Official | JAVEDAN, PEDRAM (PRESIDENT) |
| NPI Enumeration Date | 05/18/2012 |
Related Entities
Other providers sharing the same authorized official: JAVEDAN, PEDRAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,360 |
$49K |
| 2019 |
1,303 |
$46K |
| 2020 |
343 |
$12K |
| 2021 |
1,117 |
$34K |
| 2022 |
1,842 |
$60K |
| 2023 |
1,662 |
$56K |
| 2024 |
1,246 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,755 |
2,663 |
$133K |
| D0120 |
Periodic oral evaluation - established patient |
2,814 |
2,713 |
$77K |
| D1206 |
Topical application of fluoride varnish |
1,749 |
1,662 |
$43K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,281 |
1,267 |
$36K |
| D1351 |
Sealant - per tooth |
171 |
33 |
$7K |
| D0272 |
Bitewings - two radiographic images |
103 |
98 |
$3K |