EPIC FAMILY DENTISTRY PLLC
NPI: 1942858063
· NORWOOD, MA 02062
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 09/02/2019
$168K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,031 |
$19K |
| 2021 |
1,840 |
$39K |
| 2022 |
992 |
$32K |
| 2023 |
1,074 |
$37K |
| 2024 |
908 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,163 |
1,131 |
$55K |
| D0120 |
Periodic oral evaluation - established patient |
1,553 |
1,507 |
$42K |
| D1206 |
Topical application of fluoride varnish |
1,129 |
1,092 |
$28K |
| D8670 |
Periodic orthodontic treatment visit |
74 |
74 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
699 |
676 |
$19K |
| D0272 |
Bitewings - two radiographic images |
124 |
123 |
$4K |
| D1110 |
Prophylaxis - adult |
41 |
38 |
$2K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$598.00 |
| D1999 |
|
1,049 |
899 |
$0.00 |