DENTAL GROUP PC
NPI: 1043480924
· PRYOR, OK 74361
· General Practice Dentistry
· NPI assigned 03/06/2008
Provider Details
| Authorized Official | ANDERSON, FREDA (OFFICE MANAGER) |
| NPI Enumeration Date | 03/06/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
413 |
$8K |
| 2019 |
275 |
$5K |
| 2020 |
256 |
$5K |
| 2021 |
174 |
$3K |
| 2022 |
227 |
$5K |
| 2023 |
321 |
$7K |
| 2024 |
115 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
875 |
875 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
666 |
666 |
$10K |
| D1120 |
Prophylaxis - child |
163 |
163 |
$5K |
| D1110 |
Prophylaxis - adult |
52 |
52 |
$2K |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$457.25 |