VTADENT LLC
NPI: 1790443554
· BROOKLINE, MA 02446
· Dental Clinic/Center
· NPI assigned 11/29/2021
$401K
Total Medicaid Paid
Provider Details
| Authorized Official | KACHKA, MINNA (DENTIST) |
| NPI Enumeration Date | 11/29/2021 |
Related Entities
Other providers sharing the same authorized official: KACHKA, MINNA
| Provider | City | State | Total Paid |
|---|
| NOROC LLC |
BROOKLINE |
MA |
$892K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,723 |
$401K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
457 |
200 |
$308K |
| D2950 |
|
416 |
187 |
$63K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
218 |
206 |
$8K |
| D1110 |
Prophylaxis - adult |
139 |
132 |
$6K |
| D0274 |
Bitewings - four radiographic images |
194 |
183 |
$6K |
| D0330 |
Panoramic radiographic image |
214 |
201 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
54 |
47 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
28 |
$447.00 |