FITZGERALD, GRAZIOSO, & KUCZMA
NPI: 1598121774
· ABINGTON, MA 02351
· Dental Clinic/Center
· NPI assigned 01/04/2016
$148K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,191 |
$38K |
| 2019 |
1,827 |
$53K |
| 2020 |
1,350 |
$43K |
| 2021 |
475 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,472 |
1,459 |
$65K |
| D1206 |
Topical application of fluoride varnish |
1,788 |
1,763 |
$41K |
| D0120 |
Periodic oral evaluation - established patient |
1,397 |
1,380 |
$36K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
26 |
17 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$1K |
| D0272 |
Bitewings - two radiographic images |
49 |
49 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
67 |
55 |
$1K |
| D1110 |
Prophylaxis - adult |
17 |
16 |
$959.00 |