NPI: 1952944340 · WATERBURY, CT 06708 · Dental Clinic/Center · NPI assigned 10/18/2019
Authorized official SCIALABBA, MICHAEL controls 13+ related entities in our dataset. Read more
| Authorized Official | SCIALABBA, MICHAEL (CHIEF CLINICAL OFFICER) |
| Parent Organization | 42 NORTH DENTAL CARE PLLC |
| NPI Enumeration Date | 10/18/2019 |
Other providers sharing the same authorized official: SCIALABBA, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| 42 NORTH DENTAL CARE, LLC | WALTHAM | MA | $2.23M |
| 42 NORTH DENTAL CARE, LLC | MANSFIELD | MA | $1.17M |
| 42 NORTH DENTAL CARE, LLC | WATERTOWN | MA | $339K |
| 42 NORTH DENTAL CARE, LLC | CAMBRIDGE | MA | $138K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | BLISSFIELD | MI | $70K |
| 42 NORTH DENTAL CARE, LLC | BROOKLINE | MA | $40K |
| 42 NORTH DENTAL CARE OF INDIANA, LLC | MUNCIE | IN | $36K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | ALMONT | MI | $27K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | CHARLOTTE | MI | $16K |
| 42 NORTH DENTAL ORAL SURGERY OF MA, PLLC | QUINCY | MA | $15K |
| 42 NORTH DENTAL CARE OF MICHIGAN, PLLC | HOWELL | MI | $3K |
| 42 NORTH DENTAL CARE PLLC | SOUTHBURY | CT | $0.00 |
| 42 NORTH DENTAL CARE PLLC | MANCHESTER | CT | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 145 | $0.00 |
| 2022 | 39 | $0.00 |
| 2023 | 4,546 | $0.00 |
| 2024 | 4,781 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 741 | 720 | $0.00 |
| D1120 | Prophylaxis - child | 2,039 | 1,994 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 746 | 643 | $0.00 |
| D0330 | Panoramic radiographic image | 417 | 398 | $0.00 |
| D2991 | 108 | 38 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 1,121 | 1,089 | $0.00 |
| D1351 | Sealant - per tooth | 1,149 | 304 | $0.00 |
| D1206 | Topical application of fluoride varnish | 2,056 | 1,998 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 69 | 41 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 706 | 585 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 337 | 325 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 22 | 21 | $0.00 |