BLUE HEN DENTAL LLC
NPI: 1841765955
· SMYRNA, DE 19977
· Dental Clinic/Center
· NPI assigned 10/05/2018
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | BAQI, SEYAR (DENTIST) |
| NPI Enumeration Date | 10/05/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,179 |
$36K |
| 2024 |
2,347 |
$91K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
607 |
559 |
$24K |
| D1351 |
Sealant - per tooth |
502 |
88 |
$22K |
| D1120 |
Prophylaxis - child |
411 |
393 |
$21K |
| D1206 |
Topical application of fluoride varnish |
623 |
593 |
$19K |
| D1354 |
|
258 |
71 |
$17K |
| D1110 |
Prophylaxis - adult |
208 |
199 |
$15K |
| D0230 |
Intraoral - periapical each additional radiographic image |
288 |
186 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
218 |
206 |
$5K |
| D0601 |
|
172 |
161 |
$0.00 |
| D0602 |
|
179 |
171 |
$0.00 |
| D0603 |
|
60 |
59 |
$0.00 |