MONICA H. CIPES DMD PC
NPI: 1720390222
· WEST HARTFORD, CT 06119
· Pediatric Dentist
· NPI assigned 07/13/2010
$439K
Total Medicaid Paid
Provider Details
| Authorized Official | CIPES, MONICA (OWNER) |
| NPI Enumeration Date | 07/13/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,434 |
$82K |
| 2019 |
2,208 |
$73K |
| 2020 |
1,531 |
$49K |
| 2021 |
1,859 |
$61K |
| 2022 |
1,825 |
$61K |
| 2023 |
1,923 |
$61K |
| 2024 |
1,571 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
4,151 |
4,001 |
$175K |
| D0120 |
Periodic oral evaluation - established patient |
4,075 |
3,889 |
$127K |
| D1206 |
Topical application of fluoride varnish |
4,336 |
4,133 |
$113K |
| D0272 |
Bitewings - two radiographic images |
649 |
628 |
$19K |
| D1351 |
Sealant - per tooth |
91 |
26 |
$3K |
| D0274 |
Bitewings - four radiographic images |
32 |
28 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
13 |
$260.68 |