NPI: 1710573910 · BROCKTON, MA 02301 · General Practice Dentistry · NPI assigned 12/12/2020
| Authorized Official | COOMBS, SABRINA (CO-OWNER/DENTIST) |
| NPI Enumeration Date | 12/12/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 154 | $6K |
| 2022 | 471 | $19K |
| 2023 | 611 | $20K |
| 2024 | 689 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 748 | 722 | $38K |
| D0120 | Periodic oral evaluation - established patient | 530 | 508 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 308 | 304 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 122 | 116 | $5K |
| D0274 | Bitewings - four radiographic images | 109 | 106 | $3K |
| D0330 | Panoramic radiographic image | 26 | 21 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 65 | 61 | $958.00 |
| D9986 | 17 | 17 | $0.00 |