MIDCOAST DENTAL HEALTH LLC
NPI: 1649048976
· BRUNSWICK, ME 04011
· Dental Hygienist
· NPI assigned 12/15/2023
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
989 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
647 |
68 |
$18K |
| D0190 |
|
140 |
122 |
$3K |
| D1206 |
Topical application of fluoride varnish |
115 |
101 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
29 |
$686.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
42 |
27 |
$682.50 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$672.00 |