SAGE DENTISTRY V PLLC
NPI: 1073034088
· LAKEWOOD, CO 80226
· Dental Clinic/Center
· NPI assigned 06/29/2017
Provider Details
| Authorized Official | POLLACK, SAGE (DOCTOR/OWNER) |
| NPI Enumeration Date | 06/29/2017 |
Related Entities
Other providers sharing the same authorized official: POLLACK, SAGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$495.30 |
| 2020 |
105 |
$3K |
| 2021 |
239 |
$11K |
| 2022 |
13 |
$580.19 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
156 |
156 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
26 |
12 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
87 |
87 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
52 |
52 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
38 |
$463.66 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$144.24 |