NPI: 1982451605 · MONMOUTH, ME 04259 · Dental Hygienist · NPI assigned 05/01/2024
| Authorized Official | LALIBERTE, SHERRY (PRACTICE OWNER) |
| NPI Enumeration Date | 05/01/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 3,926 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1355 | 1,829 | 112 | $36K | |
| D2940 | 306 | 70 | $18K | |
| D1351 | Sealant - per tooth | 494 | 87 | $15K |
| D1354 | 495 | 78 | $12K | |
| D1120 | Prophylaxis - child | 122 | 122 | $7K |
| D0190 | 185 | 162 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | 130 | 130 | $3K |
| D1310 | 138 | 138 | $3K | |
| D0272 | Bitewings - two radiographic images | 85 | 84 | $3K |
| D1330 | 43 | 43 | $1K | |
| D1206 | Topical application of fluoride varnish | 43 | 43 | $1K |
| D0603 | 56 | 56 | $0.00 |