NPI: 1649288515 · BROCKTON, MA 02301 · General Practice Dentistry · NPI assigned 08/04/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,023 | $37K |
| 2019 | 1,033 | $34K |
| 2020 | 391 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 915 | 909 | $46K |
| D0120 | Periodic oral evaluation - established patient | 1,107 | 1,091 | $24K |
| D0272 | Bitewings - two radiographic images | 252 | 247 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 81 | 81 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 53 | 51 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 39 | 37 | $610.00 |