ROBERT S MATTINGLY DMD
NPI: 1063570323
· CORYDON, IN 47112
· General Practice Dentistry
· NPI assigned 12/05/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
475 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
137 |
126 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
145 |
132 |
$914.47 |
| D1208 |
Topical application of fluoride, excluding varnish |
111 |
102 |
$626.92 |
| D1120 |
Prophylaxis - child |
32 |
28 |
$207.00 |
| D2140 |
|
21 |
13 |
$204.27 |
| D0274 |
Bitewings - four radiographic images |
14 |
13 |
$140.68 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
13 |
$106.50 |