PRACTICE WITHOUT PRESSURE PIKE CREEK
NPI: 1114305976
· WILMINGTON, DE 19808
· Health Service Clinic/Center
· NPI assigned 05/13/2015
$173K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: THOMAS-GLAVIN, HOPE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
65 |
$4K |
| 2020 |
266 |
$10K |
| 2021 |
811 |
$33K |
| 2022 |
1,452 |
$46K |
| 2023 |
1,151 |
$45K |
| 2024 |
1,170 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,738 |
1,399 |
$93K |
| D1206 |
Topical application of fluoride varnish |
1,222 |
1,090 |
$32K |
| D0120 |
Periodic oral evaluation - established patient |
897 |
720 |
$27K |
| D0220 |
Intraoral - periapical first radiographic image |
499 |
420 |
$9K |
| D0274 |
Bitewings - four radiographic images |
183 |
158 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
359 |
295 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
16 |
$1K |