THOMAS S. MULVEY DDS LLC
NPI: 1942322458
· PROVIDENCE, RI 02903
· Pediatric Dentist
· NPI assigned 04/04/2007
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | MULVEY, THOMAS (OWNER) |
| NPI Enumeration Date | 04/04/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
109 |
$2K |
| 2019 |
1,262 |
$16K |
| 2020 |
720 |
$17K |
| 2021 |
2,344 |
$53K |
| 2022 |
2,453 |
$55K |
| 2023 |
338 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
2,271 |
2,202 |
$69K |
| D1120 |
Prophylaxis - child |
1,808 |
1,802 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
1,591 |
1,530 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
718 |
714 |
$14K |
| D0272 |
Bitewings - two radiographic images |
381 |
354 |
$5K |
| D1110 |
Prophylaxis - adult |
229 |
192 |
$4K |
| D0240 |
|
199 |
197 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
12 |
$544.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$130.00 |