GLOUCESTER DENTAL HEALTH CENTER
NPI: 1679745988
· GLOUCESTER, MA 01930
· General Practice Dentistry
· NPI assigned 03/26/2008
Provider Details
| Authorized Official | MARSH, YVONNE (DENTIST / OWNER) |
| Parent Organization | CITY OF GLOUCESTER |
| NPI Enumeration Date | 03/26/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
844 |
$32K |
| 2020 |
645 |
$24K |
| 2021 |
438 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
439 |
435 |
$22K |
| D1206 |
Topical application of fluoride varnish |
735 |
722 |
$17K |
| D1110 |
Prophylaxis - adult |
233 |
225 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
371 |
367 |
$10K |
| D0330 |
Panoramic radiographic image |
56 |
56 |
$4K |
| D0274 |
Bitewings - four radiographic images |
80 |
80 |
$3K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$390.00 |