ANDREW C PALMER DENTISTRY, LLC
NPI: 1013495613
· CIRCLEVILLE, OH 43113
· Dentist
· NPI assigned 08/06/2018
$125K
Total Medicaid Paid
Provider Details
| Authorized Official | PALMER, ANDREW (OWNER) |
| NPI Enumeration Date | 08/06/2018 |
Related Entities
Other providers sharing the same authorized official: PALMER, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
706 |
$16K |
| 2022 |
1,854 |
$40K |
| 2023 |
1,236 |
$28K |
| 2024 |
1,022 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,100 |
1,075 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
1,949 |
1,906 |
$41K |
| D1206 |
Topical application of fluoride varnish |
651 |
640 |
$11K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
203 |
116 |
$11K |
| D0274 |
Bitewings - four radiographic images |
435 |
420 |
$9K |
| D1120 |
Prophylaxis - child |
358 |
349 |
$8K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$509.52 |
| D0220 |
Intraoral - periapical first radiographic image |
70 |
68 |
$422.45 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$368.90 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$270.96 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$130.00 |