NPI: 1972037562 · LUDLOW, MA 01056 · Point of Service · NPI assigned 04/20/2017
Authorized official TAVANO, JOANNE controls 20+ related entities in our dataset. Read more
| Authorized Official | TAVANO, JOANNE (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 04/20/2017 |
Other providers sharing the same authorized official: TAVANO, JOANNE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,528 | $44K |
| 2019 | 867 | $31K |
| 2020 | 1,380 | $35K |
| 2021 | 1,553 | $53K |
| 2022 | 2,220 | $70K |
| 2023 | 3,807 | $138K |
| 2024 | 2,959 | $107K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 2,481 | 2,206 | $124K |
| D1120 | Prophylaxis - child | 1,706 | 1,391 | $71K |
| D0120 | Periodic oral evaluation - established patient | 3,134 | 2,634 | $68K |
| D1206 | Topical application of fluoride varnish | 2,115 | 1,754 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,143 | 1,015 | $46K |
| D0274 | Bitewings - four radiographic images | 1,195 | 1,029 | $40K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 377 | 188 | $26K |
| D0210 | Intraoral - complete series of radiographic images | 412 | 342 | $25K |
| D0140 | Limited oral evaluation - problem focused | 241 | 208 | $9K |
| D0330 | Panoramic radiographic image | 104 | 103 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 62 | 41 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 73 | 26 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 232 | 179 | $3K |
| D1351 | Sealant - per tooth | 87 | 13 | $3K |
| D0272 | Bitewings - two radiographic images | 60 | 55 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 19 | 19 | $551.00 |
| D0603 | 197 | 170 | $0.00 | |
| D1310 | 20 | 20 | $0.00 | |
| D1330 | 20 | 20 | $0.00 | |
| D1999 | 636 | 548 | $0.00 |