NPI: 1992737605 · BROOKLINE, MA 02445 · General Practice Dentistry · NPI assigned 07/06/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 686 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D6058 | 68 | 24 | $58K | |
| D6057 | 33 | 12 | $12K | |
| D1110 | Prophylaxis - adult | 68 | 68 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 191 | 177 | $3K |
| D0140 | Limited oral evaluation - problem focused | 54 | 54 | $2K |
| D0120 | Periodic oral evaluation - established patient | 68 | 68 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 53 | 53 | $2K |
| D1330 | 98 | 98 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | 53 | 48 | $1K |