NORTH SHORE PEDIATRIC DENTAL ASSOCIATES
NPI: 1750555181
· BEVERLY, MA 01915
· Dental Clinic/Center
· NPI assigned 04/16/2008
$271K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,043 |
$67K |
| 2019 |
2,021 |
$61K |
| 2020 |
1,535 |
$42K |
| 2021 |
1,733 |
$59K |
| 2022 |
1,099 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,970 |
1,872 |
$91K |
| D0120 |
Periodic oral evaluation - established patient |
2,501 |
2,377 |
$67K |
| D1206 |
Topical application of fluoride varnish |
2,429 |
2,309 |
$59K |
| D1110 |
Prophylaxis - adult |
429 |
415 |
$27K |
| D0272 |
Bitewings - two radiographic images |
411 |
396 |
$11K |
| D1351 |
Sealant - per tooth |
239 |
104 |
$8K |
| D0274 |
Bitewings - four radiographic images |
101 |
101 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
17 |
12 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
53 |
42 |
$964.02 |
| D1999 |
|
281 |
270 |
$0.00 |