SULPHUR DENTAL ASSOCIATES
NPI: 1114317666
· SULPHUR, LA 70663
· General Practice Dentistry
· NPI assigned 02/04/2015
Provider Details
| Authorized Official | BLANCHETTE, GARY (DENTIST / OWNER) |
| NPI Enumeration Date | 02/04/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
507 |
$18K |
| 2022 |
92 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
122 |
121 |
$6K |
| D1120 |
Prophylaxis - child |
82 |
82 |
$3K |
| D1110 |
Prophylaxis - adult |
59 |
58 |
$3K |
| D0272 |
Bitewings - two radiographic images |
114 |
114 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
114 |
113 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
66 |
65 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
20 |
14 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
22 |
14 |
$1K |