PIONEER DENTAL SERVICES, PLLC
NPI: 1104449818
· PLATTEVILLE, CO 80651
· Dental Clinic/Center
· NPI assigned 05/28/2020
1,918
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
180 |
$5K |
| 2021 |
325 |
$9K |
| 2022 |
210 |
$6K |
| 2023 |
456 |
$12K |
| 2024 |
762 |
$43K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
515 |
515 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
803 |
802 |
$20K |
| D2740 |
Crown - porcelain/ceramic |
22 |
12 |
$19K |
| D0274 |
Bitewings - four radiographic images |
183 |
183 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
267 |
263 |
$3K |
| D1206 |
Topical application of fluoride varnish |
86 |
86 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
17 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
40 |
40 |
$615.93 |