MID-MAINE DENTAL CENTER, P A
NPI: 1639386576
· WINSLOW, ME 04901
· General Practice Dentistry
· NPI assigned 05/17/2007
Provider Details
| Authorized Official | KLASSON, STEVEN (DENTIST) |
| NPI Enumeration Date | 05/17/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,164 |
$30K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
123 |
84 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
194 |
192 |
$6K |
| D1110 |
Prophylaxis - adult |
143 |
141 |
$6K |
| D1351 |
Sealant - per tooth |
222 |
26 |
$3K |
| D1330 |
|
191 |
183 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
206 |
203 |
$2K |
| D0330 |
Panoramic radiographic image |
33 |
32 |
$1K |
| D1120 |
Prophylaxis - child |
40 |
40 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$240.00 |