CHILDREN'S CORNER PEDIATRIC DENTISTRY
NPI: 1023320728
· LINDON, UT 84042
· Pediatric Dentist
· NPI assigned 07/09/2010
Provider Details
| Authorized Official | SEGURA, STUART (PARTNER) |
| NPI Enumeration Date | 07/09/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,873 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
504 |
494 |
$48K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
488 |
478 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
513 |
499 |
$809.09 |
| D0272 |
Bitewings - two radiographic images |
279 |
272 |
$639.03 |
| D1120 |
Prophylaxis - child |
534 |
525 |
$521.78 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$73.14 |
| D1206 |
Topical application of fluoride varnish |
511 |
501 |
$15.51 |