TOOTH CLUB FOR KIDS PCH PLLC
NPI: 1053144576
· PHOENIX, AZ 85016
· Dental Clinic/Center
· NPI assigned 08/21/2024
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
263 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
36 |
14 |
$320.52 |
| D0120 |
Periodic oral evaluation - established patient |
41 |
41 |
$292.68 |
| D1120 |
Prophylaxis - child |
29 |
28 |
$291.52 |
| D0274 |
Bitewings - four radiographic images |
23 |
23 |
$252.99 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$178.32 |
| D0230 |
Intraoral - periapical each additional radiographic image |
44 |
38 |
$150.45 |
| D1208 |
Topical application of fluoride, excluding varnish |
38 |
38 |
$137.28 |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
38 |
$134.20 |