BLUE YONDER DENTAL CARE
NPI: 1023491297
· BRIGHTON, CO 80602
· Dental Clinic/Center
· NPI assigned 07/06/2015
Provider Details
| Authorized Official | COMBS, STEVEN (OWNER) |
| NPI Enumeration Date | 07/06/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
301 |
$23K |
| 2019 |
65 |
$3K |
| 2020 |
13 |
$1K |
| 2022 |
50 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
108 |
16 |
$13K |
| D9420 |
|
67 |
67 |
$7K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
42 |
12 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
67 |
67 |
$3K |
| D0240 |
|
41 |
41 |
$1K |
| D0272 |
Bitewings - two radiographic images |
65 |
65 |
$1K |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$442.52 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$386.88 |