BELMONT FAMILY DENTAL CENTER OF BROCKTON
NPI: 1972140390
· BROCKTON, MA 02301
· General Practice Dentistry
· NPI assigned 12/04/2019
Provider Details
| Authorized Official | HUBBARD, ALISON (OWNER DENTIST) |
| NPI Enumeration Date | 12/04/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
657 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
197 |
192 |
$11K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
89 |
39 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
155 |
152 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
51 |
48 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
94 |
83 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$1K |
| D1206 |
Topical application of fluoride varnish |
32 |
31 |
$780.00 |