DESERT VALLEY DENTISTRY
NPI: 1083143739
· POCATELLO, ID 83201
· Dental Clinic/Center
· NPI assigned 06/07/2017
Provider Details
| Authorized Official | BYBEE, LARRY (DENTIST) |
| NPI Enumeration Date | 06/07/2017 |
Related Entities
Other providers sharing the same authorized official: BYBEE, LARRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
60 |
$2K |
| 2020 |
104 |
$3K |
| 2021 |
94 |
$3K |
| 2022 |
52 |
$2K |
| 2023 |
112 |
$871.74 |
| 2024 |
38 |
$943.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
117 |
117 |
$9K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
91 |
41 |
$4K |
| D0274 |
Bitewings - four radiographic images |
90 |
90 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
36 |
36 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
103 |
103 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
12 |
$0.00 |