FOX PEDIATRIC & ADOLESCENT DENTISTRY, P.C.
NPI: 1952432411
· MERIDEN, CT 06450
· Pediatric Dentist
· NPI assigned 03/08/2007
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | FOX, STEPHEN (PRESIDENT) |
| NPI Enumeration Date | 03/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,172 |
$76K |
| 2019 |
771 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
910 |
906 |
$40K |
| D0120 |
Periodic oral evaluation - established patient |
901 |
896 |
$30K |
| D1208 |
Topical application of fluoride, excluding varnish |
801 |
798 |
$22K |
| D0272 |
Bitewings - two radiographic images |
331 |
330 |
$10K |