VISITING DENTAL ASSOCIATES OF MA INC
NPI: 1669097150
· ASSONET, MA 02702
· Public Health or Welfare Agency
· NPI assigned 06/10/2020
$282K
Total Medicaid Paid
Provider Details
| Authorized Official | GRINHAM, CATHY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/10/2020 |
Related Entities
Other providers sharing the same authorized official: GRINHAM, CATHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
19 |
$300.00 |
| 2021 |
52 |
$1K |
| 2022 |
2,515 |
$94K |
| 2023 |
3,613 |
$109K |
| 2024 |
2,408 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
2,541 |
805 |
$101K |
| D0190 |
|
2,292 |
2,253 |
$61K |
| D1206 |
Topical application of fluoride varnish |
1,855 |
1,847 |
$50K |
| D1120 |
Prophylaxis - child |
940 |
936 |
$49K |
| D1208 |
Topical application of fluoride, excluding varnish |
282 |
281 |
$8K |
| D1354 |
|
522 |
213 |
$7K |
| D1110 |
Prophylaxis - adult |
78 |
77 |
$4K |
| D9410 |
|
82 |
82 |
$2K |
| D1330 |
|
15 |
15 |
$84.00 |