DENTAL TEAM OF SOUTH WINDSOR
NPI: 1881279404
· SOUTH WINDSOR, CT 06074
· General Practice Dentistry
· NPI assigned 03/15/2021
Provider Details
| Authorized Official | AIGUIER, DIANE (CEO) |
| NPI Enumeration Date | 03/15/2021 |
Related Entities
Other providers sharing the same authorized official: AIGUIER, DIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
814 |
$20K |
| 2022 |
1,129 |
$31K |
| 2023 |
136 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
591 |
422 |
$17K |
| D1110 |
Prophylaxis - adult |
317 |
299 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
486 |
454 |
$9K |
| D0274 |
Bitewings - four radiographic images |
200 |
189 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
204 |
183 |
$5K |
| D1120 |
Prophylaxis - child |
68 |
60 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
67 |
66 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
33 |
29 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
81 |
71 |
$793.84 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
12 |
$732.72 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$713.40 |