CHATHAM DENTAL CENTER LLC
NPI: 1962964171
· EAST HAMPTON, CT 06424
· General Practice Dentistry
· NPI assigned 04/05/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
67 |
$2K |
| 2020 |
295 |
$10K |
| 2021 |
491 |
$18K |
| 2022 |
575 |
$18K |
| 2023 |
565 |
$20K |
| 2024 |
578 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,109 |
1,071 |
$47K |
| D0120 |
Periodic oral evaluation - established patient |
745 |
706 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
553 |
532 |
$14K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
50 |
24 |
$5K |
| D0274 |
Bitewings - four radiographic images |
68 |
66 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
30 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$144.78 |