EAST SCOTTSDALE PEDIATRIC DENTAL, PC
NPI: 1073982997
· SCOTTSDALE, AZ 85259
· Dental Clinic/Center
· NPI assigned 09/21/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
915 |
$2K |
| 2019 |
792 |
$875.77 |
| 2020 |
873 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
549 |
543 |
$3K |
| D1206 |
Topical application of fluoride varnish |
691 |
683 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
497 |
493 |
$706.06 |
| D0272 |
Bitewings - two radiographic images |
190 |
188 |
$485.01 |
| D0220 |
Intraoral - periapical first radiographic image |
257 |
255 |
$386.04 |
| D0230 |
Intraoral - periapical each additional radiographic image |
258 |
210 |
$297.10 |
| D1999 |
|
138 |
129 |
$0.00 |