BENDER DENTAL ASSOCIATES
NPI: 1003099839
· JACKSON, MS 39206
· General Practice Dentistry
· NPI assigned 12/15/2007
$971.56
Total Medicaid Paid
Provider Details
| Authorized Official | BENDER, TERESA (OWNER) |
| Parent Organization | BENDER DENTAL ASSOCIATES |
| NPI Enumeration Date | 12/15/2007 |
Related Entities
Other providers sharing the same authorized official: BENDER, TERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,173 |
$204.38 |
| 2019 |
463 |
$98.44 |
| 2020 |
36 |
$0.00 |
| 2021 |
26 |
$0.00 |
| 2022 |
30 |
$668.74 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
567 |
147 |
$472.56 |
| D1206 |
Topical application of fluoride varnish |
579 |
135 |
$393.06 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
552 |
124 |
$105.94 |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
12 |
$0.00 |