DENTAL GEMS P.C.
NPI: 1881167567
· HOPEDALE, MA 01747
· Dental Clinic/Center
· NPI assigned 01/06/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
33 |
$1K |
| 2021 |
272 |
$10K |
| 2022 |
509 |
$17K |
| 2023 |
649 |
$23K |
| 2024 |
580 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
775 |
773 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
717 |
715 |
$17K |
| D0274 |
Bitewings - four radiographic images |
153 |
153 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
294 |
285 |
$4K |
| D1206 |
Topical application of fluoride varnish |
40 |
39 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
51 |
44 |
$656.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$518.00 |