WOODBURY DENTAL PARTNERS
NPI: 1003360793
· WOODBURY, TN 37190
· Dentist
· NPI assigned 08/10/2016
Provider Details
Related Entities
Other providers sharing the same authorized official: CLARK, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
936 |
$25K |
| 2019 |
1,183 |
$32K |
| 2020 |
214 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
754 |
730 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
609 |
590 |
$14K |
| D1120 |
Prophylaxis - child |
366 |
353 |
$12K |
| D1110 |
Prophylaxis - adult |
258 |
251 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
85 |
40 |
$5K |
| D0274 |
Bitewings - four radiographic images |
130 |
124 |
$3K |
| D0330 |
Panoramic radiographic image |
40 |
38 |
$1K |
| D0272 |
Bitewings - two radiographic images |
50 |
48 |
$870.91 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
28 |
$731.25 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$152.16 |