BRIDGTON DENTAL HYGIENE CARE, PA
NPI: 1760789044
· BRIDGTON, ME 04009
· Dental Hygienist
· NPI assigned 02/22/2011
$137K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,093 |
$21K |
| 2019 |
665 |
$12K |
| 2020 |
492 |
$9K |
| 2021 |
840 |
$16K |
| 2022 |
771 |
$21K |
| 2023 |
866 |
$34K |
| 2024 |
731 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,932 |
1,772 |
$66K |
| D1206 |
Topical application of fluoride varnish |
2,126 |
1,969 |
$32K |
| D1110 |
Prophylaxis - adult |
434 |
360 |
$23K |
| D1351 |
Sealant - per tooth |
859 |
117 |
$14K |
| D0272 |
Bitewings - two radiographic images |
57 |
57 |
$855.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
50 |
50 |
$588.00 |