MONADNOCK DENTAL ASSOCIATES PLLC
NPI: 1912176744
· JAFFREY, NH 03452
· Dentist
· NPI assigned 02/26/2008
Provider Details
| Authorized Official | BROOME, ZANE (OWNER DENTIST) |
| NPI Enumeration Date | 02/26/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
272 |
$8K |
| 2019 |
145 |
$4K |
| 2020 |
27 |
$817.70 |
| 2021 |
55 |
$1K |
| 2022 |
107 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
370 |
348 |
$10K |
| D1110 |
Prophylaxis - adult |
62 |
57 |
$3K |
| D1206 |
Topical application of fluoride varnish |
143 |
120 |
$2K |
| D1120 |
Prophylaxis - child |
31 |
27 |
$940.68 |