DENTAL SERVICES OF OHIO
NPI: 1053509281
· HILLIARD, OH 43026
· Dentist
· NPI assigned 10/12/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WHEELER, AMY (CREDENTIALING COORDINATOR) |
| Parent Organization | DENTAL SERVICES OF OHIO |
| NPI Enumeration Date | 10/12/2007 |
Related Entities
Other providers sharing the same authorized official: WHEELER, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
30 |
$0.00 |
| 2020 |
130 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0220 |
Intraoral - periapical first radiographic image |
46 |
27 |
$0.00 |
| D0330 |
Panoramic radiographic image |
27 |
14 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
35 |
25 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
15 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
24 |
12 |
$0.00 |