CROWN DENTAL, P.C.
NPI: 1619267564
· DEDHAM, MA 02026
· Dental Clinic/Center
· NPI assigned 04/12/2011
$138K
Total Medicaid Paid
Provider Details
| Authorized Official | DO, TUAN (PRESIDENT) |
| NPI Enumeration Date | 04/12/2011 |
Related Entities
Other providers sharing the same authorized official: DO, TUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
145 |
$4K |
| 2019 |
257 |
$8K |
| 2020 |
1,391 |
$32K |
| 2021 |
463 |
$12K |
| 2022 |
707 |
$23K |
| 2023 |
667 |
$23K |
| 2024 |
942 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,394 |
1,311 |
$34K |
| D1110 |
Prophylaxis - adult |
612 |
577 |
$33K |
| D0274 |
Bitewings - four radiographic images |
828 |
770 |
$29K |
| D1206 |
Topical application of fluoride varnish |
856 |
821 |
$21K |
| D1120 |
Prophylaxis - child |
300 |
295 |
$15K |
| D9941 |
|
55 |
54 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
22 |
13 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
14 |
$649.00 |
| D1999 |
|
487 |
408 |
$0.00 |