BLACK, STACY
NPI: 1063423085
· RUSK, TX 75785
· General Practice Dentistry
· NPI assigned 08/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
80 |
$2K |
| 2021 |
711 |
$13K |
| 2022 |
587 |
$10K |
| 2023 |
459 |
$7K |
| 2024 |
174 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
520 |
515 |
$14K |
| D1110 |
Prophylaxis - adult |
163 |
163 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
530 |
526 |
$8K |
| D1120 |
Prophylaxis - child |
46 |
46 |
$2K |
| D4910 |
|
25 |
25 |
$797.50 |
| D0603 |
|
727 |
723 |
$0.00 |