SWEETGRASS DENTAL ASSOCIATES DDS, PC
NPI: 1023661998
· NORTH CHARLESTON, SC 29418
· General Practice Dentistry
· NPI assigned 07/19/2019
Provider Details
| Authorized Official | MITCHELL, SHAWN (OWNER/DENTIST) |
| NPI Enumeration Date | 07/19/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
194 |
$8K |
| 2023 |
39 |
$1K |
| 2024 |
99 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
112 |
112 |
$4K |
| D1110 |
Prophylaxis - adult |
75 |
75 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
70 |
70 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
50 |
50 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$314.12 |