MT STERLING PEDS DRE LLC
NPI: 1083489462
· MT STERLING, KY 40353
· Pediatric Dentist
· NPI assigned 11/16/2023
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official DAVIS, ELIZABETH controls 20+ related entities in our dataset. Read more
Provider Details
| Authorized Official | DAVIS, ELIZABETH (DIRECTOR OF REVENUE) |
| NPI Enumeration Date | 11/16/2023 |
Related Entities
Other providers sharing the same authorized official: DAVIS, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,158 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
439 |
415 |
$26K |
| D1206 |
Topical application of fluoride varnish |
436 |
411 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
229 |
217 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
501 |
165 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
141 |
138 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
253 |
244 |
$3K |
| D0272 |
Bitewings - two radiographic images |
131 |
128 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
12 |
$499.20 |
| D0145 |
Oral evaluation for a patient under three years of age |
15 |
15 |
$492.17 |