REIDVILLE DENTISTRY & IMPLANTS
NPI: 1639555451
· WATERBURY, CT 06705
· Dentist
· NPI assigned 08/04/2015
$112K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SANTA MARIA, ANGELINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
361 |
$10K |
| 2019 |
1,197 |
$33K |
| 2020 |
805 |
$20K |
| 2021 |
1,259 |
$39K |
| 2022 |
252 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
1,351 |
1,290 |
$28K |
| D1120 |
Prophylaxis - child |
538 |
519 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
598 |
585 |
$15K |
| D0274 |
Bitewings - four radiographic images |
489 |
470 |
$15K |
| D1110 |
Prophylaxis - adult |
441 |
424 |
$13K |
| D0330 |
Panoramic radiographic image |
218 |
193 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
174 |
157 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
52 |
50 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$137.18 |