MONTSHIRE RUTLAND PC
NPI: 1922842749
· RUTLAND, VT 05701
· Pediatric Dentist
· NPI assigned 06/25/2024
Provider Details
| Authorized Official | NORRIS, JONATHAN (OWNER / PROVIDER) |
| NPI Enumeration Date | 06/25/2024 |
Related Entities
Other providers sharing the same authorized official: NORRIS, JONATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,414 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
1,021 |
140 |
$22K |
| D2940 |
|
212 |
50 |
$16K |
| D1351 |
Sealant - per tooth |
610 |
82 |
$15K |
| D1120 |
Prophylaxis - child |
155 |
153 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
86 |
82 |
$8K |
| D1206 |
Topical application of fluoride varnish |
210 |
206 |
$7K |
| D0274 |
Bitewings - four radiographic images |
53 |
53 |
$3K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$2K |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$955.50 |
| D1330 |
|
15 |
15 |
$451.50 |