MAINELY KIDS & TEENS, LLC
NPI: 1720796857
· RUMFORD, ME 04276
· Pediatric Dentist
· NPI assigned 11/08/2022
Provider Details
| Authorized Official | BATEMAN, JEFF (CEO) |
| NPI Enumeration Date | 11/08/2022 |
Related Entities
Other providers sharing the same authorized official: BATEMAN, JEFF
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
831 |
$33K |
| 2024 |
702 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
691 |
686 |
$35K |
| D1206 |
Topical application of fluoride varnish |
664 |
660 |
$16K |
| D0330 |
Panoramic radiographic image |
56 |
56 |
$5K |
| D0272 |
Bitewings - two radiographic images |
84 |
84 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
37 |
$2K |