ATRIUM DENTAL GROUP, INC.
NPI: 1942502620
· EAST LONGMEADOW, MA 01028
· General Practice Dentistry
· NPI assigned 12/01/2010
$202K
Total Medicaid Paid
Provider Details
| Authorized Official | CHRZAN, TOMASZ (DENTIST/OWNER) |
| NPI Enumeration Date | 12/01/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
783 |
$28K |
| 2019 |
890 |
$33K |
| 2020 |
1,017 |
$30K |
| 2021 |
967 |
$33K |
| 2022 |
948 |
$33K |
| 2023 |
744 |
$27K |
| 2024 |
446 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,040 |
1,941 |
$105K |
| D0120 |
Periodic oral evaluation - established patient |
2,124 |
2,032 |
$49K |
| D0274 |
Bitewings - four radiographic images |
625 |
606 |
$22K |
| D1206 |
Topical application of fluoride varnish |
316 |
312 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
78 |
50 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
216 |
209 |
$6K |
| D1120 |
Prophylaxis - child |
107 |
103 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
26 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
76 |
67 |
$1K |
| D1999 |
|
184 |
169 |
$0.00 |