NPI: 1598400400 · HENNIKER, NH 03242 · Pediatric Dentist · NPI assigned 05/04/2022
| Authorized Official | NORRIS, JONATHAN (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 05/04/2022 |
Other providers sharing the same authorized official: NORRIS, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTSHIRE PEDIATRIC DENTISTRY, PC | KEENE | NH | $7.07M |
| MONTSHIRE DUBLIN PC | DUBLIN | NH | $110K |
| MONTSHIRE RUTLAND PC | RUTLAND | VT | $83K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 862 | $26K |
| 2023 | 3,724 | $113K |
| 2024 | 6,426 | $196K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D1354 | 4,369 | 810 | $139K | |
| D1351 | Sealant - per tooth | 2,111 | 350 | $70K |
| D1120 | Prophylaxis - child | 1,256 | 1,217 | $48K |
| D1206 | Topical application of fluoride varnish | 1,218 | 1,183 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 258 | 254 | $16K |
| D0272 | Bitewings - two radiographic images | 402 | 388 | $12K |
| D1110 | Prophylaxis - adult | 133 | 129 | $8K |
| D0274 | Bitewings - four radiographic images | 167 | 155 | $6K |
| D2940 | 81 | 26 | $5K | |
| D0330 | Panoramic radiographic image | 76 | 72 | $4K |
| D0120 | Periodic oral evaluation - established patient | 85 | 84 | $3K |
| D0603 | 799 | 758 | $0.00 | |
| D1330 | 44 | 44 | $0.00 | |
| D9996 | 13 | 13 | $0.00 |