VERMONT FAMILY DENTAL PLC
NPI: 1790496404
· RUTLAND, VT 05701
· Dental Clinic/Center
· NPI assigned 12/13/2022
Provider Details
| Authorized Official | MELO, DAN (PARTNER) |
| Parent Organization | VERMONT FAMILY DENTAL PLC |
| NPI Enumeration Date | 12/13/2022 |
Related Entities
Other providers sharing the same authorized official: MELO, DAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
362 |
$15K |
| 2024 |
279 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
408 |
390 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
153 |
140 |
$4K |
| D0274 |
Bitewings - four radiographic images |
80 |
74 |
$3K |