NORTHAMPTON DENTAL SPECIALISTS GROUP PC
NPI: 1821666710
· NORTHAMPTON, MA 01060
· General Practice Dentistry
· NPI assigned 06/16/2021
$233K
Total Medicaid Paid
Provider Details
| Authorized Official | COTE, CHARLOTTE (MANAGER) |
| NPI Enumeration Date | 06/16/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
614 |
$21K |
| 2022 |
4,249 |
$103K |
| 2023 |
4,012 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,579 |
1,482 |
$80K |
| D9450 |
|
3,997 |
3,092 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
2,206 |
2,114 |
$52K |
| D1120 |
Prophylaxis - child |
345 |
333 |
$17K |
| D1206 |
Topical application of fluoride varnish |
545 |
528 |
$13K |
| D0274 |
Bitewings - four radiographic images |
203 |
181 |
$7K |