HIGHLAND DENTAL DMD PC
NPI: 1598976516
· SOMERVILLE, MA 02145
· General Practice Dentistry
· NPI assigned 05/24/2007
$450K
Total Medicaid Paid
Provider Details
| Authorized Official | SHTEYNBERG, ZOYA (OFFICE MANAGER) |
| NPI Enumeration Date | 05/24/2007 |
Related Entities
Other providers sharing the same authorized official: SHTEYNBERG, ZOYA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,691 |
$61K |
| 2019 |
1,104 |
$38K |
| 2020 |
881 |
$32K |
| 2021 |
1,290 |
$58K |
| 2022 |
1,364 |
$75K |
| 2023 |
1,498 |
$96K |
| 2024 |
1,318 |
$89K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
3,520 |
3,321 |
$179K |
| D2740 |
Crown - porcelain/ceramic |
182 |
117 |
$129K |
| D0120 |
Periodic oral evaluation - established patient |
3,885 |
3,705 |
$87K |
| D0274 |
Bitewings - four radiographic images |
515 |
492 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
618 |
613 |
$18K |
| D1120 |
Prophylaxis - child |
223 |
222 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
67 |
58 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
69 |
65 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
12 |
$885.00 |
| D0220 |
Intraoral - periapical first radiographic image |
54 |
52 |
$789.00 |