MEDELLA DENTAL, PLLC
NPI: 1710573910
· BROCKTON, MA 02301
· General Practice Dentistry
· NPI assigned 12/12/2020
Provider Details
| Authorized Official | COOMBS, SABRINA (CO-OWNER/DENTIST) |
| NPI Enumeration Date | 12/12/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
154 |
$6K |
| 2022 |
471 |
$19K |
| 2023 |
611 |
$20K |
| 2024 |
689 |
$23K |
Billing Codes
| 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 |