BOOE PEDIATRIC DENTISTRY
NPI: 1073067328
· LINTON, IN 47441
· Dental Clinic/Center
· NPI assigned 08/03/2016
Provider Details
| Authorized Official | BOOE, MEGAN (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 08/03/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
272 |
$1K |
| 2019 |
532 |
$14K |
| 2020 |
163 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
337 |
288 |
$8K |
| D1206 |
Topical application of fluoride varnish |
418 |
363 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
134 |
109 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
29 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
19 |
12 |
$588.05 |
| D0272 |
Bitewings - two radiographic images |
28 |
28 |
$570.63 |