NPI: 1669481800 · BOSTON, MA 02108 · General Practice Dentistry · NPI assigned 08/05/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 581 | $22K |
| 2020 | 34 | $377.00 |
| 2021 | 200 | $14K |
| 2022 | 263 | $9K |
| 2023 | 596 | $25K |
| 2024 | 417 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D4381 | 468 | 39 | $38K | |
| D1206 | Topical application of fluoride varnish | 221 | 213 | $8K |
| D1330 | 445 | 445 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | 373 | 300 | $6K |
| D4341 | 36 | 12 | $5K | |
| D1110 | Prophylaxis - adult | 92 | 92 | $5K |
| D0120 | Periodic oral evaluation - established patient | 154 | 153 | $4K |
| D4910 | 29 | 28 | $2K | |
| D9110 | 60 | 53 | $2K | |
| D9210 | 120 | 79 | $1K | |
| D0140 | Limited oral evaluation - problem focused | 27 | 27 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $900.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 29 | 26 | $793.00 |
| D0470 | 12 | 12 | $696.00 | |
| D0180 | 13 | 13 | $390.00 |