NPI: 1982250726 · WATERTOWN, MA 02472 · Dental Clinic/Center · NPI assigned 08/16/2019
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, LLC |
| NPI Enumeration Date | 08/16/2019 |
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 | 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 | WATERBURY | CT | $0.00 |
| 42 NORTH DENTAL CARE PLLC | SOUTHBURY | CT | $0.00 |
| 42 NORTH DENTAL CARE PLLC | MANCHESTER | CT | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 427 | $21K |
| 2021 | 944 | $38K |
| 2022 | 2,171 | $88K |
| 2023 | 2,778 | $123K |
| 2024 | 1,580 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 2,315 | 2,129 | $114K |
| D4342 | 1,117 | 336 | $83K | |
| D0210 | Intraoral - complete series of radiographic images | 593 | 562 | $41K |
| D0274 | Bitewings - four radiographic images | 1,009 | 939 | $33K |
| D0120 | Periodic oral evaluation - established patient | 863 | 830 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 352 | 338 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 946 | 866 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 126 | 66 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 435 | 314 | $5K |
| D2950 | 27 | 14 | $4K | |
| D0140 | Limited oral evaluation - problem focused | 81 | 77 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 21 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 15 | 12 | $372.00 |