BRANT ROUSE DDS PLC
NPI: 1003131459
· TAHLEQUAH, OK 74464
· Dentist
· NPI assigned 03/29/2010
Provider Details
| Authorized Official | ROUSE, BRANT (PRESIDENT) |
| NPI Enumeration Date | 03/29/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
43 |
$911.76 |
| 2022 |
275 |
$6K |
| 2023 |
79 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
142 |
142 |
$3K |
| D1120 |
Prophylaxis - child |
85 |
85 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
157 |
157 |
$2K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$503.03 |