COMFORT DENTAL OF SAPULPA PLLC
NPI: 1063694883
· SAPULPA, OK 74066
· General Practice Dentistry
· NPI assigned 12/04/2007
Provider Details
| Authorized Official | RODGERS, RENE (OFFICE MANAGER) |
| NPI Enumeration Date | 12/04/2007 |
Related Entities
Other providers sharing the same authorized official: RODGERS, RENE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
539 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
189 |
189 |
$3K |
| D1120 |
Prophylaxis - child |
120 |
120 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
160 |
160 |
$2K |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$507.48 |
| D0274 |
Bitewings - four radiographic images |
20 |
20 |
$479.40 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$310.20 |