ANDREW BONAVITA DMDPC
NPI: 1780841213
· LONGMEADOW, MA 01106
· Dentist
· NPI assigned 05/21/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
53 |
$2K |
| 2021 |
31 |
$2K |
| 2022 |
452 |
$19K |
| 2023 |
375 |
$14K |
| 2024 |
519 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
643 |
637 |
$35K |
| D0120 |
Periodic oral evaluation - established patient |
600 |
597 |
$15K |
| D0274 |
Bitewings - four radiographic images |
81 |
81 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
56 |
55 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
23 |
13 |
$1K |
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$756.00 |