TOWN SQUARE DENTAL PLLC
NPI: 1124534433
· RUPERT, ID 83350
· General Practice Dentistry
· NPI assigned 12/21/2017
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
257 |
$3K |
| 2019 |
207 |
$1K |
| 2020 |
266 |
$4K |
| 2021 |
276 |
$6K |
| 2022 |
190 |
$3K |
| 2023 |
102 |
$3K |
| 2024 |
260 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
284 |
284 |
$20K |
| D1120 |
Prophylaxis - child |
29 |
29 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$2K |
| D0274 |
Bitewings - four radiographic images |
183 |
183 |
$496.04 |
| D0120 |
Periodic oral evaluation - established patient |
702 |
702 |
$409.72 |
| D1208 |
Topical application of fluoride, excluding varnish |
314 |
314 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
31 |
31 |
$0.00 |