DAVID N MOHEBAN DMD LLC
NPI: 1740809201
· WESTBOROUGH, MA 01581
· Dental Clinic/Center
· NPI assigned 04/14/2020
Provider Details
| Authorized Official | MOHEBAN, DAVID (DENTIST OWNER) |
| NPI Enumeration Date | 04/14/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$630.00 |
| 2021 |
288 |
$12K |
| 2022 |
510 |
$21K |
| 2023 |
560 |
$19K |
| 2024 |
445 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
965 |
888 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
657 |
604 |
$14K |
| D0274 |
Bitewings - four radiographic images |
64 |
59 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
44 |
39 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
25 |
12 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
12 |
$759.00 |
| D0220 |
Intraoral - periapical first radiographic image |
49 |
45 |
$657.00 |