NPI: 1619262391 · DANVILLE, VA 24540 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/10/2011
Authorized official JACOMINO, MICHELLE controls 20+ related entities in our dataset. Read more
| Authorized Official | JACOMINO, MICHELLE (DIRECTOR OF PAYOR RELATIONS) |
| NPI Enumeration Date | 06/10/2011 |
Other providers sharing the same authorized official: JACOMINO, MICHELLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| TREMONT ROAD DENTAL, PC | NEWPORT NEWS | VA | $85.04M |
| TREMONT ROAD DENTAL SUPER, P.C. | NORFOLK | VA | $63.58M |
| WOLCOTT STREET DENTAL-2, PC | WATERBURY | CT | $21.04M |
| HATHAWAY ROAD DENTAL, PC | SPRINGFIELD | MA | $18.79M |
| WOLCOTT STREET DENTAL-1, PC | NEW BRITAIN | CT | $15.20M |
| HATHAWAY ROAD DENTAL, PC | CHELSEA | MA | $10.26M |
| HATHAWAY ROAD DENTAL, PC | ROXBURY | MA | $9.05M |
| HATHAWAY ROAD DENTAL, PC | NEW BEDFORD | MA | $8.69M |
| HATHAWAY ROAD DENTAL, PC | FALL RIVER | MA | $7.72M |
| HATHAWAY ROAD DENTAL, PC | HOLYOKE | MA | $7.18M |
| HATHAWAY ROAD DENTAL, PC | BROCKTON | MA | $6.08M |
| TREMONT ROAD DENTAL, PC | HAMPTON | VA | $76K |
| TREMONT ROAD DENTAL, PC | NORFOLK | VA | $69K |
| TREMONT ROAD DENTAL, PC | RICHMOND | VA | $66K |
| TREMONT ROAD DENTAL, PC | VIRGINIA BEACH | VA | $66K |
| TREMONT ROAD DENTAL SUPER, P.C. | RICHMOND | VA | $62K |
| TREMONT ROAD DENTAL, PC | NORFOLK | VA | $61K |
| TREMONT ROAD DENTAL SUPER, P.C. | PORTSMOUTH | VA | $56K |
| TREMONT ROAD DENTAL SUPER, P.C. | CHRISTIANSBURG | VA | $55K |
| TREMONT ROAD DENTAL, PC | ROANOKE | VA | $15K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 323 | $6K |
| 2019 | 2,616 | $42K |
| 2020 | 3,651 | $39K |
| 2021 | 2,562 | $27K |
| 2022 | 12 | $187.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 1,446 | 1,383 | $22K |
| D1110 | Prophylaxis - adult | 492 | 483 | $21K |
| D0330 | Panoramic radiographic image | 847 | 832 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 567 | 556 | $16K |
| D0274 | Bitewings - four radiographic images | 526 | 518 | $9K |
| D0120 | Periodic oral evaluation - established patient | 262 | 260 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1,526 | 1,443 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 1,349 | 685 | $4K |
| D1206 | Topical application of fluoride varnish | 264 | 259 | $4K |
| D1120 | Prophylaxis - child | 121 | 119 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 120 | 70 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 27 | 12 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 475 | 360 | $562.36 |
| D0272 | Bitewings - two radiographic images | 13 | 12 | $212.85 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 15 | 12 | $44.94 |
| D1999 | 1,114 | 924 | $0.00 |