CRYSTAL LAKE DENTAL PC
NPI: 1700059441
· WAKEFIELD, MA 01880
· General Practice Dentistry
· NPI assigned 04/02/2008
Provider Details
| Authorized Official | GYURKO, CSILLA (OWNER) |
| NPI Enumeration Date | 04/02/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
485 |
$18K |
| 2019 |
376 |
$14K |
| 2020 |
515 |
$11K |
| 2021 |
363 |
$14K |
| 2022 |
259 |
$10K |
| 2023 |
267 |
$10K |
| 2024 |
111 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,063 |
1,032 |
$57K |
| D0120 |
Periodic oral evaluation - established patient |
902 |
875 |
$21K |
| D0274 |
Bitewings - four radiographic images |
122 |
117 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
72 |
65 |
$1K |
| D1999 |
|
99 |
96 |
$0.00 |
| D0190 |
|
118 |
108 |
$0.00 |