NORTH SHORE DENTAL CENTER
NPI: 1639426315
· PEABODY, MA 01960
· General Practice Dentistry
· NPI assigned 08/13/2012
Provider Details
| Authorized Official | ELIAS, HIAM (OWNER) |
| NPI Enumeration Date | 08/13/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
83 |
$3K |
| 2020 |
61 |
$2K |
| 2021 |
100 |
$4K |
| 2022 |
159 |
$6K |
| 2023 |
107 |
$4K |
| 2024 |
179 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
455 |
422 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
197 |
187 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
15 |
$847.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
21 |
19 |
$576.00 |