NPI: 1912657602 · BLISSFIELD, MI 49228 · Dental Clinic/Center · NPI assigned 03/25/2022
Authorized official SCIALABBA, MICHAEL controls 13+ related entities in our dataset. Read more
| Authorized Official | SCIALABBA, MICHAEL (CHIEF CLINICAL OFFICER) |
| Parent Organization | 42 NORTH DENTAL CARE OF MICHIGAN, PLLC |
| NPI Enumeration Date | 03/25/2022 |
Other providers sharing the same authorized official: SCIALABBA, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| 42 NORTH DENTAL CARE, LLC | WALTHAM | MA | $2.23M |
| 42 NORTH DENTAL CARE, LLC | MANSFIELD | MA | $1.17M |
| 42 NORTH DENTAL CARE, LLC | WATERTOWN | MA | $339K |
| 42 NORTH DENTAL CARE, LLC | CAMBRIDGE | MA | $138K |
| 42 NORTH DENTAL CARE, LLC | BROOKLINE | MA | $40K |
| 42 NORTH DENTAL CARE OF INDIANA, LLC | MUNCIE | IN | $36K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | ALMONT | MI | $27K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | CHARLOTTE | MI | $16K |
| 42 NORTH DENTAL ORAL SURGERY OF MA, PLLC | QUINCY | MA | $15K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | HOWELL | MI | $3K |
| 42 NORTH DENTAL CARE PLLC | SOUTHBURY | CT | $0.00 |
| 42 NORTH DENTAL CARE PLLC | WATERBURY | CT | $0.00 |
| 42 NORTH DENTAL CARE PLLC | MANCHESTER | CT | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,008 | $36K |
| 2024 | 893 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 441 | 440 | $18K |
| D1206 | Topical application of fluoride varnish | 607 | 603 | $15K |
| D0120 | Periodic oral evaluation - established patient | 539 | 537 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 122 | 69 | $14K |
| D1110 | Prophylaxis - adult | 96 | 96 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20 | 13 | $2K |
| D0274 | Bitewings - four radiographic images | 27 | 26 | $790.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $552.56 |
| D0220 | Intraoral - periapical first radiographic image | 25 | 25 | $407.74 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $249.42 |