ALL DENTAL CENTER
NPI: 1952428369
· WATERTOWN, MA 02472
· Dentist
· NPI assigned 03/23/2007
Provider Details
| Authorized Official | GASSEL, VITALIY (MANAGER) |
| NPI Enumeration Date | 03/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,758 |
$60K |
| 2019 |
653 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
838 |
819 |
$41K |
| D4381 |
|
175 |
45 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
444 |
435 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
494 |
414 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
313 |
259 |
$5K |
| D0274 |
Bitewings - four radiographic images |
119 |
117 |
$4K |
| D4910 |
|
12 |
12 |
$900.00 |
| D1330 |
|
16 |
16 |
$224.00 |