ENFIELD PEDIATRIC DENTISTRY LLC
NPI: 1790068500
· ENFIELD, CT 06082
· Pediatric Dentist
· NPI assigned 09/28/2011
Provider Details
| Authorized Official | RUSSO, TONI (OWNER) |
| NPI Enumeration Date | 09/28/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$1K |
| 2020 |
90 |
$3K |
| 2021 |
372 |
$13K |
| 2022 |
311 |
$11K |
| 2023 |
481 |
$14K |
| 2024 |
325 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
593 |
559 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
568 |
530 |
$17K |
| D1206 |
Topical application of fluoride varnish |
459 |
421 |
$11K |