PEDIATRIC DENTAL SERVICES
NPI: 1043360621
· SUNRISE, FL 33313
· Pediatric Dentist
· NPI assigned 01/12/2007
Provider Details
| Authorized Official | KOERNER, OLGA (OFFICE MANAGER) |
| NPI Enumeration Date | 01/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
289 |
$1K |
| 2020 |
645 |
$11K |
| 2021 |
185 |
$1K |
| 2022 |
1,852 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
507 |
501 |
$27K |
| D1110 |
Prophylaxis - adult |
77 |
77 |
$2K |
| D0330 |
Panoramic radiographic image |
15 |
13 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
603 |
597 |
$0.00 |
| D1330 |
|
594 |
586 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
74 |
72 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
255 |
127 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
289 |
287 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
216 |
213 |
$0.00 |
| D1120 |
Prophylaxis - child |
341 |
336 |
$0.00 |