CAROLINA AVENUE DENTAL
NPI: 1023116019
· MONCKS CORNER, SC 29461
· General Practice Dentistry
· NPI assigned 09/21/2006
Provider Details
| Authorized Official | PIPKIN, GLORIA (PRESIDENT) |
| NPI Enumeration Date | 09/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
504 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
61 |
61 |
$3K |
| D0274 |
Bitewings - four radiographic images |
101 |
101 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
98 |
98 |
$2K |
| D1206 |
Topical application of fluoride varnish |
80 |
80 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
86 |
86 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$651.17 |
| D0230 |
Intraoral - periapical each additional radiographic image |
53 |
53 |
$484.15 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$313.20 |