WALLACE, DEBORAH
NPI: 1124195359
· DOVER, TN 37058
· General Practice Dentistry
· NPI assigned 11/30/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
614 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
167 |
165 |
$4K |
| D1110 |
Prophylaxis - adult |
94 |
92 |
$4K |
| D1120 |
Prophylaxis - child |
106 |
105 |
$3K |
| D1206 |
Topical application of fluoride varnish |
172 |
170 |
$3K |
| D0272 |
Bitewings - two radiographic images |
59 |
57 |
$1K |
| D0330 |
Panoramic radiographic image |
16 |
16 |
$795.68 |