ULTIMATE DENTAL CARE OF RANDOLPH , PC
NPI: 1831670678
· RANDOLPH, MA 02368
· General Practice Dentistry
· NPI assigned 08/28/2018
Provider Details
| Authorized Official | SALLOUM, EYAD (PRESIDENT) |
| NPI Enumeration Date | 08/28/2018 |
Related Entities
Other providers sharing the same authorized official: SALLOUM, EYAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
437 |
$15K |
| 2020 |
251 |
$6K |
| 2021 |
79 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
188 |
181 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
203 |
197 |
$5K |
| D1206 |
Topical application of fluoride varnish |
137 |
136 |
$3K |
| D0274 |
Bitewings - four radiographic images |
92 |
87 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
35 |
33 |
$1K |
| D1120 |
Prophylaxis - child |
31 |
31 |
$1K |
| D1999 |
|
81 |
74 |
$0.00 |