AFFORDABLE DENTAL CARE
NPI: 1104980283
· BELLEVUE, WA 98006
· Dentist
· NPI assigned 12/21/2006
Provider Details
| Authorized Official | LILLIE, BECKY (OPERATIONS MANAGER) |
| NPI Enumeration Date | 12/21/2006 |
Related Entities
Other providers sharing the same authorized official: LILLIE, BECKY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
687 |
$9K |
| 2021 |
134 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
378 |
231 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
64 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
44 |
43 |
$1K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$905.10 |
| D0120 |
Periodic oral evaluation - established patient |
35 |
33 |
$829.25 |
| D1208 |
Topical application of fluoride, excluding varnish |
39 |
39 |
$511.96 |
| D0220 |
Intraoral - periapical first radiographic image |
34 |
32 |
$212.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
15 |
$34.92 |
| D1330 |
|
172 |
145 |
$0.00 |