MOBILE MEDICAL DENTAL (MA), P.C.
NPI: 1740612811
· LAKEVILLE, MA 02347
· General Practice Dentistry
· NPI assigned 07/31/2013
$184K
Total Medicaid Paid
Provider Details
| Authorized Official | SWARTZ, JAMES (COO) |
| NPI Enumeration Date | 07/31/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,541 |
$170K |
| 2019 |
674 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,094 |
1,673 |
$74K |
| D0120 |
Periodic oral evaluation - established patient |
3,225 |
2,436 |
$46K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
809 |
598 |
$20K |
| D0210 |
Intraoral - complete series of radiographic images |
236 |
187 |
$12K |
| D1206 |
Topical application of fluoride varnish |
726 |
543 |
$12K |
| D9410 |
|
633 |
414 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
492 |
401 |
$10K |