DENTAL HYGIENE ASSOCIATES OF MAINE, LLC
NPI: 1750916078
· DOVER FOXCROFT, ME 04426
· Dental Clinic/Center
· NPI assigned 03/06/2020
$122K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
776 |
$28K |
| 2024 |
2,507 |
$93K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4341 |
|
174 |
41 |
$27K |
| D1110 |
Prophylaxis - adult |
295 |
285 |
$20K |
| D1351 |
Sealant - per tooth |
606 |
49 |
$17K |
| D0190 |
|
801 |
783 |
$17K |
| D1310 |
|
640 |
632 |
$14K |
| D1120 |
Prophylaxis - child |
189 |
185 |
$10K |
| D1206 |
Topical application of fluoride varnish |
365 |
351 |
$9K |
| D1330 |
|
164 |
160 |
$4K |
| D4910 |
|
27 |
27 |
$3K |
| D0330 |
Panoramic radiographic image |
22 |
22 |
$2K |