CRISTIAN PETCU DDS PC
NPI: 1801041652
· MEDWAY, MA 02053
· General Practice Dentistry
· NPI assigned 11/20/2008
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | PETCU, CRISTIAN (PRESIDENT) |
| NPI Enumeration Date | 11/20/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
243 |
$9K |
| 2019 |
447 |
$16K |
| 2020 |
394 |
$13K |
| 2021 |
595 |
$21K |
| 2022 |
774 |
$29K |
| 2023 |
792 |
$28K |
| 2024 |
647 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,644 |
1,600 |
$86K |
| D0120 |
Periodic oral evaluation - established patient |
1,666 |
1,625 |
$39K |
| D1120 |
Prophylaxis - child |
82 |
78 |
$4K |
| D0274 |
Bitewings - four radiographic images |
101 |
98 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
253 |
228 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
73 |
71 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
24 |
24 |
$869.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
49 |
29 |
$594.00 |