PEARL PEDIATRIC DENTISTRY AND ORTHODONTICS
NPI: 1093442444
· MT. JULIET, TN 37122
· Pediatric Dentist
· NPI assigned 08/05/2022
Provider Details
| Authorized Official | SELDEN, BLERTA (PRESIDENT) |
| NPI Enumeration Date | 08/05/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
244 |
$7K |
| 2024 |
368 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
212 |
208 |
$7K |
| D1206 |
Topical application of fluoride varnish |
210 |
205 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
99 |
97 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
78 |
78 |
$2K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$187.10 |