MARK D. MEDAUGH, D.M.D., P.C.
NPI: 1790979664
· BELCHERTOWN, MA 01007
· General Practice Dentistry
· NPI assigned 09/04/2007
$116K
Total Medicaid Paid
Provider Details
| Authorized Official | MEDAUGH, MARK (PRESIDENT) |
| NPI Enumeration Date | 09/04/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
387 |
$14K |
| 2020 |
450 |
$17K |
| 2021 |
502 |
$18K |
| 2022 |
1,097 |
$32K |
| 2023 |
592 |
$17K |
| 2024 |
599 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
498 |
478 |
$30K |
| D1206 |
Topical application of fluoride varnish |
930 |
912 |
$24K |
| D9450 |
|
1,061 |
832 |
$21K |
| D1120 |
Prophylaxis - child |
361 |
355 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
587 |
579 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
128 |
114 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$2K |
| D0274 |
Bitewings - four radiographic images |
16 |
15 |
$625.00 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
13 |
$195.00 |