CHILDREN'S DENTAL ASSOC., INC.
NPI: 1760601397
· CHAGRIN FALLS, OH 44023
· Pediatric Dentist
· NPI assigned 04/24/2007
$158K
Total Medicaid Paid
Provider Details
| Authorized Official | BROWN, LAWRENCE (VICE-PRESIDENT) |
| NPI Enumeration Date | 04/24/2007 |
Related Entities
Other providers sharing the same authorized official: BROWN, LAWRENCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,833 |
$77K |
| 2019 |
4,023 |
$64K |
| 2020 |
734 |
$12K |
| 2021 |
136 |
$2K |
| 2022 |
141 |
$2K |
| 2023 |
53 |
$889.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,225 |
2,051 |
$41K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,629 |
2,420 |
$36K |
| D0120 |
Periodic oral evaluation - established patient |
2,236 |
2,056 |
$35K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
464 |
279 |
$24K |
| D0272 |
Bitewings - two radiographic images |
949 |
861 |
$9K |
| D1110 |
Prophylaxis - adult |
169 |
161 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
125 |
121 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
56 |
38 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
55 |
39 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$270.96 |