COMPREHENSIVE DENTAL CARE
NPI: 1861500761
· DORCHESTER, MA 02124
· General Practice Dentistry
· NPI assigned 08/29/2006
$951.00
Total Medicaid Paid
Provider Details
| Authorized Official | DINH, QUE (DMD/OWNER) |
| NPI Enumeration Date | 08/29/2006 |
Related Entities
Other providers sharing the same authorized official: DINH, QUE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55 |
$951.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
27 |
26 |
$378.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
14 |
$324.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$249.00 |