COPPER COVE PEDIATRIC DENTISTRY
NPI: 1134536907
· SOUTH JORDAN, UT 84095
· 1223P0221X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
63 |
$0.00 |
| 2019 |
350 |
$7K |
| 2020 |
376 |
$12K |
| 2021 |
579 |
$16K |
| 2022 |
313 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
455 |
453 |
$46K |
| D1120 |
|
466 |
465 |
$985.20 |
| D0272 |
|
15 |
15 |
$702.75 |
| D0220 |
|
173 |
170 |
$127.28 |
| D0230 |
|
241 |
118 |
$1.08 |
| D1206 |
|
302 |
302 |
$0.00 |
| D0210 |
|
14 |
14 |
$0.00 |
| D0330 |
|
15 |
15 |
$0.00 |