NPI: 1851694996 · MONSON, ME 04464 · Dental Hygienist · NPI assigned 12/13/2010
| Authorized Official | KANE, CHANDRA (OWNER) |
| NPI Enumeration Date | 12/13/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,405 | $73K |
| 2019 | 4,836 | $77K |
| 2020 | 1,640 | $27K |
| 2021 | 4,750 | $75K |
| 2022 | 9,978 | $241K |
| 2023 | 14,954 | $451K |
| 2024 | 13,618 | $419K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 28,240 | 3,782 | $654K |
| D1120 | Prophylaxis - child | 4,828 | 4,804 | $196K |
| D1206 | Topical application of fluoride varnish | 6,571 | 6,518 | $123K |
| D1354 | 4,201 | 1,388 | $102K | |
| D0190 | 4,627 | 4,605 | $89K | |
| D2940 | 1,284 | 682 | $71K | |
| D1110 | Prophylaxis - adult | 1,069 | 1,054 | $58K |
| D1355 | 2,145 | 641 | $41K | |
| D1310 | 967 | 966 | $23K | |
| D1330 | 231 | 230 | $4K | |
| D0191 | 18 | 18 | $247.35 |