WEST METRO PEDIATRIC DENTISTRY PLLC
NPI: 1073225926
· CENTENNIAL, CO 80111
· Pediatric Dentist
· NPI assigned 12/21/2022
Provider Details
| Authorized Official | SAVAGE, BRYAN (OFFICE MANAGER) |
| Parent Organization | WEST METRO PEDIATRIC DENTISTRY PLLC |
| NPI Enumeration Date | 12/21/2022 |
Related Entities
Other providers sharing the same authorized official: SAVAGE, BRYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
241 |
$6K |
| 2024 |
493 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
438 |
346 |
$9K |
| D1120 |
Prophylaxis - child |
170 |
147 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
100 |
85 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$561.99 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$229.32 |