TOPSHAM DENTAL ARTS
NPI: 1669657136
· TOPSHAM, ME 04086
· General Practice Dentistry
· NPI assigned 01/03/2008
Provider Details
| Authorized Official | SPRAGUE, J HOWARD (PRINCIPAL MEMBER) |
| NPI Enumeration Date | 01/03/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
84 |
$1K |
| 2019 |
37 |
$648.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
53 |
49 |
$1K |
| D1206 |
Topical application of fluoride varnish |
68 |
62 |
$708.00 |