MOUNT MANSFIELD DENTISTRY PLC
NPI: 1811370638
· WATERBURY, VT 05676
· General Practice Dentistry
· NPI assigned 06/30/2015
Provider Details
Related Entities
Other providers sharing the same authorized official: CRITCHLOW, CYNTHIA
| Provider | City | State | Total Paid |
|---|
| VTPT, INC. |
WAITSFIELD |
VT |
$52K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
437 |
$13K |
| 2019 |
313 |
$9K |
| 2020 |
252 |
$7K |
| 2021 |
375 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
449 |
437 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
765 |
749 |
$18K |
| D1206 |
Topical application of fluoride varnish |
132 |
126 |
$2K |
| D0274 |
Bitewings - four radiographic images |
31 |
28 |
$771.00 |