DALY DENTAL
NPI: 1679862676
· MIDDLEBURY, VT 05753
· Dentist
· NPI assigned 03/31/2011
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | DALY, ANDREW (OWNER/DENTIST) |
| NPI Enumeration Date | 03/31/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
842 |
$28K |
| 2019 |
697 |
$24K |
| 2020 |
482 |
$15K |
| 2021 |
552 |
$17K |
| 2022 |
751 |
$19K |
| 2023 |
658 |
$22K |
| 2024 |
563 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,270 |
1,856 |
$94K |
| D0120 |
Periodic oral evaluation - established patient |
1,204 |
1,051 |
$29K |
| D0274 |
Bitewings - four radiographic images |
800 |
699 |
$21K |
| D1120 |
Prophylaxis - child |
215 |
205 |
$7K |
| D1999 |
|
56 |
53 |
$0.00 |