KIDS DENTAL CARE OF MIDDLEBORO, LLC
NPI: 1760779938
· MIDDLEBORO, MA 02346
· Pediatric Dentist
· NPI assigned 07/07/2011
$486K
Total Medicaid Paid
Provider Details
| Authorized Official | BUCCINO, MICHAEL (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | KIDS DENTAL CARE OF FALL RIVER, PC |
| NPI Enumeration Date | 07/07/2011 |
Related Entities
Other providers sharing the same authorized official: BUCCINO, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,888 |
$95K |
| 2019 |
2,534 |
$91K |
| 2020 |
1,782 |
$48K |
| 2021 |
2,475 |
$63K |
| 2022 |
1,517 |
$54K |
| 2023 |
1,554 |
$58K |
| 2024 |
1,959 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
3,467 |
3,312 |
$168K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,059 |
3,888 |
$113K |
| D0120 |
Periodic oral evaluation - established patient |
3,183 |
3,033 |
$87K |
| D0272 |
Bitewings - two radiographic images |
1,699 |
1,631 |
$48K |
| D1110 |
Prophylaxis - adult |
229 |
217 |
$15K |
| D0274 |
Bitewings - four radiographic images |
348 |
334 |
$14K |
| D8670 |
Periodic orthodontic treatment visit |
70 |
66 |
$13K |
| D0330 |
Panoramic radiographic image |
173 |
167 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
148 |
138 |
$8K |
| D1351 |
Sealant - per tooth |
120 |
25 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
127 |
116 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
26 |
24 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
41 |
38 |
$777.00 |
| D1999 |
|
1,019 |
958 |
$0.00 |