HORIZON DENTAL GROUP PRESCOTT, LLC
NPI: 1063897411
· PRESCOTT, AZ 86305
· General Practice Dentistry
· NPI assigned 07/28/2015
Provider Details
| Authorized Official | THOMPSON, KELCIE (BILLING MANGER) |
| NPI Enumeration Date | 07/28/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
76 |
$2K |
| 2020 |
12 |
$382.58 |
| 2021 |
59 |
$2K |
| 2022 |
49 |
$1K |
| 2023 |
270 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
218 |
203 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
205 |
188 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
27 |
12 |
$2K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
16 |
13 |
$2K |