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NORTHEAST CONNECTICUT DENTAL ASSOCIATES, INC.
NORTHEAST CONNECTICUT DENTAL ASSOCIATES, INC.
NPI: 1639219140
· PUTNAM, CT 06260
· General Practice Dentistry
· NPI assigned 02/07/2007
$630K
Total Medicaid Paid
Provider Details
| Authorized Official | MOONEY, JOHN (PRESIDENT) |
| NPI Enumeration Date | 02/07/2007 |
Related Entities
Other providers sharing the same authorized official: MOONEY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,223 |
$110K |
| 2019 |
2,913 |
$100K |
| 2020 |
2,115 |
$72K |
| 2021 |
2,690 |
$96K |
| 2022 |
2,454 |
$84K |
| 2023 |
2,589 |
$92K |
| 2024 |
2,145 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
4,492 |
4,453 |
$199K |
| D0120 |
Periodic oral evaluation - established patient |
5,700 |
5,585 |
$166K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,176 |
4,139 |
$117K |
| D0274 |
Bitewings - four radiographic images |
1,928 |
1,888 |
$70K |
| D1110 |
Prophylaxis - adult |
1,278 |
1,208 |
$41K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
264 |
146 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
92 |
88 |
$5K |
| D1351 |
Sealant - per tooth |
43 |
14 |
$2K |
| D0272 |
Bitewings - two radiographic images |
54 |
54 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
19 |
13 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
83 |
82 |
$1K |