PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
NPI: 1114155694
· CHEVERLY, MD 20785
· Public Health Dentist
· NPI assigned 06/23/2009
Provider Details
| Authorized Official | BUTLER, TAMALA (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 06/23/2009 |
Related Entities
Other providers sharing the same authorized official: BUTLER, TAMALA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
563 |
$18K |
| 2019 |
169 |
$5K |
| 2020 |
29 |
$966.98 |
| 2021 |
15 |
$373.80 |
| 2022 |
12 |
$299.04 |
| 2023 |
15 |
$394.35 |
| 2024 |
76 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
206 |
195 |
$9K |
| D1206 |
Topical application of fluoride varnish |
323 |
312 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
109 |
109 |
$6K |
| D1351 |
Sealant - per tooth |
112 |
30 |
$4K |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$523.44 |
| D1330 |
|
74 |
73 |
$458.40 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$180.00 |