COSTANZA, CRAIG
NPI: 1902816226
· REVERE, MA 02151
· Dentist
· NPI assigned 08/09/2006
$117K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
973 |
$29K |
| 2019 |
767 |
$23K |
| 2020 |
106 |
$2K |
| 2021 |
474 |
$11K |
| 2022 |
603 |
$18K |
| 2023 |
759 |
$22K |
| 2024 |
463 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
614 |
605 |
$31K |
| D0274 |
Bitewings - four radiographic images |
782 |
767 |
$27K |
| D2394 |
|
192 |
112 |
$20K |
| D0220 |
Intraoral - periapical first radiographic image |
1,136 |
1,105 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
605 |
593 |
$13K |
| D0230 |
Intraoral - periapical each additional radiographic image |
816 |
800 |
$10K |