DENTAL SERVICES OF OHIO
NPI: 1043359367
· MIAMISBURG, OH 45342
· Dentist
· NPI assigned 02/05/2007
$272.40
Total Medicaid Paid
Provider Details
| Authorized Official | WHEELER, AMY (CREDENTIALING COORDINATOR) |
| Parent Organization | DENTAL SERVICES OF OHIO |
| NPI Enumeration Date | 02/05/2007 |
Related Entities
Other providers sharing the same authorized official: WHEELER, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
204 |
$262.40 |
| 2019 |
12 |
$10.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$117.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
34 |
33 |
$105.40 |
| D0274 |
Bitewings - four radiographic images |
40 |
39 |
$40.00 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$10.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
37 |
12 |
$0.00 |