STRATFORD DENTAL CARE PC
NPI: 1609886480
· STRATFORD, CT 06614
· General Practice Dentistry
· NPI assigned 08/08/2006
$340K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,563 |
$51K |
| 2019 |
1,578 |
$51K |
| 2020 |
1,349 |
$44K |
| 2021 |
1,347 |
$44K |
| 2022 |
1,294 |
$44K |
| 2023 |
1,748 |
$57K |
| 2024 |
1,897 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,612 |
2,506 |
$112K |
| D0120 |
Periodic oral evaluation - established patient |
2,304 |
2,216 |
$75K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,574 |
2,471 |
$69K |
| D0274 |
Bitewings - four radiographic images |
740 |
699 |
$32K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,311 |
955 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
1,112 |
1,053 |
$19K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
111 |
65 |
$11K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$376.32 |