NPI: 1851869648 · BELFAST, ME 04915 · Dental Clinic/Center · NPI assigned 11/09/2018
Authorized official INZANA, LUGENE controls 20+ related entities in our dataset. Read more
| Authorized Official | INZANA, LUGENE (SENIOR VICE PRESIDENT & CFO) |
| NPI Enumeration Date | 11/09/2018 |
Other providers sharing the same authorized official: INZANA, LUGENE
| Provider | City | State | Total Paid |
|---|---|---|---|
| MAINEHEALTH | PORTLAND | ME | $142.72M |
| MAINEHEALTH | PORTLAND | ME | $115.05M |
| MAINEHEALTH | BIDDEFORD | ME | $70.83M |
| MAINEHEALTH | BRUNSWICK | ME | $40.06M |
| MAINEHEALTH | FARMINGTON | ME | $22.62M |
| MAINEHEALTH | BIDDEFORD | ME | $10.89M |
| MAINEHEALTH | FALMOUTH | ME | $6.54M |
| MAINEHEALTH | PORTLAND | ME | $5.46M |
| MAINEHEALTH | SCARBOROUGH | ME | $5.04M |
| MAINEHEALTH | ROCKPORT | ME | $4.34M |
| MAINEHEALTH | SCARBOROUGH | ME | $4.16M |
| MAINEHEALTH | PORTLAND | ME | $4.09M |
| MAINEHEALTH | SCARBOROUGH | ME | $3.94M |
| MAINEHEALTH | PORTLAND | ME | $3.55M |
| MAINEHEALTH | WALDOBORO | ME | $3.43M |
| MAINEHEALTH | SCARBOROUGH | ME | $3.18M |
| MAINEHEALTH | BRUNSWICK | ME | $2.77M |
| MAINEHEALTH | PORTLAND | ME | $2.68M |
| MAINEHEALTH | FALMOUTH | ME | $2.10M |
| MAINEHEALTH | PORTLAND | ME | $1.87M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 95 | $2K |
| 2020 | 652 | $22K |
| 2021 | 671 | $21K |
| 2022 | 1,420 | $46K |
| 2023 | 1,420 | $60K |
| 2024 | 2,631 | $135K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 932 | 928 | $58K |
| D7140 | Extraction, erupted tooth or exposed root | 497 | 223 | $48K |
| D0140 | Limited oral evaluation - problem focused | 707 | 689 | $30K |
| D0274 | Bitewings - four radiographic images | 520 | 517 | $22K |
| D0120 | Periodic oral evaluation - established patient | 817 | 815 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 360 | 358 | $21K |
| D1120 | Prophylaxis - child | 536 | 536 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 842 | 807 | $14K |
| D1206 | Topical application of fluoride varnish | 912 | 911 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 81 | 58 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 92 | 59 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 74 | 72 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 314 | 120 | $5K |
| D2331 | 39 | 26 | $3K | |
| D0270 | 103 | 102 | $2K | |
| D0272 | Bitewings - two radiographic images | 37 | 37 | $540.00 |
| D1330 | 26 | 25 | $338.00 |