CROWNING MOMENT LLC
NPI: 1881024545
· BRAINTREE, MA 02184
· Preferred Provider Organization
· NPI assigned 11/16/2013
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
576 |
$21K |
| 2019 |
513 |
$19K |
| 2020 |
130 |
$5K |
| 2021 |
83 |
$2K |
| 2022 |
89 |
$3K |
| 2023 |
27 |
$1K |
| 2024 |
63 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
476 |
469 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
606 |
602 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
239 |
239 |
$7K |
| D1120 |
Prophylaxis - child |
78 |
78 |
$4K |
| D0274 |
Bitewings - four radiographic images |
57 |
57 |
$2K |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$700.00 |