RHOADES DENTAL P.C.
NPI: 1114330750
· NEWCASTLE, WY 82701
· Dentist
· NPI assigned 06/10/2014
$101K
Total Medicaid Paid
3,488
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,267 |
$44K |
| 2019 |
632 |
$19K |
| 2020 |
323 |
$6K |
| 2021 |
508 |
$12K |
| 2022 |
397 |
$9K |
| 2023 |
265 |
$5K |
| 2024 |
275 |
$7K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,010 |
995 |
$32K |
| D1206 |
Topical application of fluoride varnish |
638 |
634 |
$21K |
| D1999 |
|
662 |
523 |
$14K |
| D1110 |
Prophylaxis - adult |
269 |
263 |
$13K |
| D1120 |
Prophylaxis - child |
329 |
325 |
$11K |
| D0274 |
Bitewings - four radiographic images |
163 |
163 |
$6K |
| D1330 |
|
543 |
534 |
$2K |
| D9110 |
|
29 |
27 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$540.00 |
| D1320 |
|
12 |
12 |
$105.60 |