MOBILE DENTAL HYGIENE SERVICES, LLP
NPI: 1922450220
· SANDWICH, MA 02563
· Public Health or Welfare Agency
· NPI assigned 07/11/2016
$126K
Total Medicaid Paid
Provider Details
| Authorized Official | SIMISON, TERESA (PUBLIC HEALTH DENTAL HYGIENIST) |
| NPI Enumeration Date | 07/11/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
709 |
$26K |
| 2019 |
819 |
$27K |
| 2020 |
193 |
$7K |
| 2021 |
496 |
$16K |
| 2022 |
642 |
$21K |
| 2023 |
684 |
$22K |
| 2024 |
195 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
745 |
738 |
$38K |
| D0190 |
|
1,164 |
1,154 |
$29K |
| D1206 |
Topical application of fluoride varnish |
1,041 |
1,020 |
$27K |
| D9110 |
|
345 |
343 |
$15K |
| D1120 |
Prophylaxis - child |
233 |
231 |
$12K |
| D9410 |
|
102 |
90 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
80 |
78 |
$2K |
| D9450 |
|
28 |
28 |
$651.00 |