DENTAL STUDIO
NPI: 1073834586
· BUDA, TX 78610
· Dentist
· NPI assigned 06/18/2010
Provider Details
| Authorized Official | KOEPPEN, ROSS (OWNER) |
| NPI Enumeration Date | 06/18/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
244 |
$5K |
| 2021 |
2,249 |
$41K |
| 2022 |
533 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
379 |
366 |
$10K |
| D1120 |
Prophylaxis - child |
263 |
259 |
$9K |
| D1351 |
Sealant - per tooth |
315 |
32 |
$7K |
| D1110 |
Prophylaxis - adult |
141 |
134 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
467 |
449 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
366 |
352 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
363 |
348 |
$4K |
| D0274 |
Bitewings - four radiographic images |
94 |
91 |
$3K |
| D0272 |
Bitewings - two radiographic images |
125 |
124 |
$3K |
| D0602 |
|
513 |
497 |
$0.00 |