DREWS DENTAL SERVICES
NPI: 1639325640
· LEWISTON, ME 04240
· Dentist
· NPI assigned 08/09/2008
$244.43
Total Medicaid Paid
Provider Details
| Authorized Official | DREWS, PETER (PRESIDENT) |
| NPI Enumeration Date | 08/09/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
242 |
$244.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
28 |
27 |
$58.34 |
| D1120 |
Prophylaxis - child |
34 |
34 |
$54.65 |
| D0274 |
Bitewings - four radiographic images |
29 |
29 |
$48.00 |
| D0120 |
Periodic oral evaluation - established patient |
51 |
51 |
$34.70 |
| D1206 |
Topical application of fluoride varnish |
51 |
51 |
$26.58 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
13 |
$22.16 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
13 |
$0.00 |
| D1110 |
Prophylaxis - adult |
17 |
17 |
$0.00 |