PATRA WATANA DMD PEDIATRIC DENTISTRY LLC
NPI: 1093121667
· GREENWOOD VILLAGE, CO 80111
· Pediatric Dentist
· NPI assigned 07/03/2014
Provider Details
| Authorized Official | WATANA, PATRA (OWNER) |
| NPI Enumeration Date | 07/03/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
112 |
$2K |
| 2019 |
185 |
$4K |
| 2020 |
130 |
$3K |
| 2021 |
363 |
$9K |
| 2022 |
537 |
$14K |
| 2023 |
763 |
$19K |
| 2024 |
771 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,133 |
1,131 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
831 |
827 |
$22K |
| D1120 |
Prophylaxis - child |
409 |
409 |
$17K |
| D0272 |
Bitewings - two radiographic images |
276 |
275 |
$6K |
| D1110 |
Prophylaxis - adult |
105 |
105 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
64 |
63 |
$863.19 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
42 |
$683.39 |