NPI: 1760905830 · MANCHESTER, CT 06042 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,395 | $198K |
| 2019 | 4,313 | $138K |
| 2020 | 1,289 | $46K |
| 2021 | 1,750 | $70K |
| 2022 | 3,216 | $161K |
| 2023 | 2,581 | $106K |
| 2024 | 2,405 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 4,265 | 4,146 | $182K | |
| D0120 | 4,366 | 4,233 | $128K | |
| D2392 | 1,478 | 696 | $123K | |
| D1208 | 3,057 | 2,987 | $74K | |
| D0274 | 1,815 | 1,748 | $62K | |
| D2391 | 646 | 285 | $49K | |
| D0150 | 710 | 682 | $35K | |
| D1206 | 1,300 | 1,259 | $35K | |
| D0330 | 546 | 517 | $34K | |
| D1110 | 884 | 851 | $27K | |
| D0140 | 743 | 678 | $20K | |
| D2393 | 168 | 111 | $17K | |
| D0272 | 283 | 279 | $8K | |
| D2150 | 122 | 93 | $7K | |
| D0220 | 487 | 455 | $5K | |
| D2140 | 36 | 29 | $2K | |
| D2332 | 29 | 13 | $2K | |
| D7140 | 14 | 12 | $1K |