VALLEY DENTAL PA
NPI: 1114067105
· POCATELLO, ID 83201
· Pediatric Dentist
· NPI assigned 02/07/2007
Provider Details
| Authorized Official | BYBEE, LARRY (OWNER) |
| NPI Enumeration Date | 02/07/2007 |
Related Entities
Other providers sharing the same authorized official: BYBEE, LARRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,107 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
142 |
142 |
$13K |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
113 |
113 |
$9.22 |
| D1208 |
Topical application of fluoride, excluding varnish |
176 |
176 |
$0.00 |
| D1351 |
Sealant - per tooth |
136 |
32 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
171 |
171 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
118 |
118 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
169 |
96 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
42 |
42 |
$0.00 |