CLINTON DENTAL CARE LLC
NPI: 1063614469
· CLINTON, SC 29325
· General Practice Dentistry
· NPI assigned 06/05/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
108 |
$3K |
| 2021 |
83 |
$2K |
| 2022 |
298 |
$7K |
| 2023 |
628 |
$16K |
| 2024 |
709 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
499 |
499 |
$12K |
| D1206 |
Topical application of fluoride varnish |
683 |
683 |
$11K |
| D1110 |
Prophylaxis - adult |
197 |
197 |
$10K |
| D1120 |
Prophylaxis - child |
196 |
196 |
$7K |
| D0274 |
Bitewings - four radiographic images |
167 |
167 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
46 |
46 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$495.19 |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$405.00 |