LARRY VANDYCK DDS HOLLY STREET DENTISTRY,PA
NPI: 1083043905
· SILOAM SPRINGS, AR 72761
· Dentist
· NPI assigned 11/01/2013
Provider Details
| Authorized Official | VANDYCK, LARRY (OWNER/DENTIST) |
| NPI Enumeration Date | 11/01/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
60 |
$2K |
| 2019 |
52 |
$1K |
| 2020 |
99 |
$3K |
| 2021 |
159 |
$4K |
| 2022 |
397 |
$10K |
| 2023 |
428 |
$12K |
| 2024 |
379 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
680 |
660 |
$16K |
| D1206 |
Topical application of fluoride varnish |
588 |
572 |
$11K |
| D1110 |
Prophylaxis - adult |
223 |
212 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$691.60 |
| D1208 |
Topical application of fluoride, excluding varnish |
31 |
31 |
$598.50 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$413.20 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
27 |
$300.50 |