UNIQUE DENTAL GROUP, PC
NPI: 1831435395
· MARLBOROUGH, MA 01752
· Dentist
· NPI assigned 01/02/2013
$1.16M
Total Medicaid Paid
Provider Details
| Authorized Official | KANBAR, KINAN (OWNER) |
| NPI Enumeration Date | 01/02/2013 |
Related Entities
Other providers sharing the same authorized official: KANBAR, KINAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,982 |
$110K |
| 2019 |
2,925 |
$186K |
| 2020 |
2,655 |
$176K |
| 2021 |
3,080 |
$186K |
| 2022 |
3,146 |
$191K |
| 2023 |
2,986 |
$163K |
| 2024 |
2,596 |
$151K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,805 |
1,659 |
$436K |
| D1120 |
Prophylaxis - child |
3,087 |
3,053 |
$158K |
| D1208 |
Topical application of fluoride, excluding varnish |
5,156 |
5,045 |
$151K |
| D0120 |
Periodic oral evaluation - established patient |
4,734 |
4,642 |
$139K |
| D1110 |
Prophylaxis - adult |
1,765 |
1,751 |
$122K |
| D0274 |
Bitewings - four radiographic images |
1,712 |
1,667 |
$74K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
353 |
191 |
$39K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
222 |
148 |
$20K |
| D1351 |
Sealant - per tooth |
437 |
182 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
56 |
56 |
$3K |
| D8680 |
|
31 |
24 |
$3K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$360.00 |