SAGE DENTAL OF FT LAUDERDALE, PLLC
NPI: 1013330430
· FT LAUDERDALE, FL 33308
· Dentist
· NPI assigned 01/22/2014
Provider Details
| Authorized Official | CRUZ, ANTONIO (CHEIF DENTAL DIRECTOR) |
| NPI Enumeration Date | 01/22/2014 |
Related Entities
Other providers sharing the same authorized official: CRUZ, ANTONIO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
135 |
$2K |
| 2021 |
211 |
$2K |
| 2022 |
1,007 |
$3K |
| 2023 |
537 |
$7K |
| 2024 |
475 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
331 |
290 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
15 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
364 |
333 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
250 |
244 |
$500.28 |
| D1206 |
Topical application of fluoride varnish |
201 |
142 |
$470.54 |
| D0220 |
Intraoral - periapical first radiographic image |
453 |
399 |
$312.65 |
| D0274 |
Bitewings - four radiographic images |
40 |
37 |
$246.14 |
| D0230 |
Intraoral - periapical each additional radiographic image |
441 |
376 |
$169.48 |
| D0272 |
Bitewings - two radiographic images |
30 |
27 |
$120.42 |
| D0999 |
Unspecified diagnostic procedure, by report |
21 |
15 |
$21.41 |
| D1330 |
|
218 |
160 |
$0.00 |