EG DMD, LLC
NPI: 1053826057
· VARNVILLE, SC 29944
· Dental Clinic/Center
· NPI assigned 12/12/2017
Provider Details
| Authorized Official | GOWER, EMERSON (OWNER/DENTIST) |
| NPI Enumeration Date | 12/12/2017 |
Related Entities
Other providers sharing the same authorized official: GOWER, EMERSON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
274 |
$10K |
| 2019 |
518 |
$19K |
| 2020 |
62 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
194 |
194 |
$10K |
| D0330 |
Panoramic radiographic image |
161 |
161 |
$8K |
| D0274 |
Bitewings - four radiographic images |
243 |
243 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
81 |
81 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
55 |
55 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
47 |
47 |
$1K |
| D1206 |
Topical application of fluoride varnish |
59 |
59 |
$955.80 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$179.62 |