MILL CREEK DENTAL, LLC
NPI: 1134560394
· POTTSVILLE, PA 17901
· Dentist
· NPI assigned 07/16/2013
Provider Details
| Authorized Official | PELAGIO, DAVID (DENTIST) |
| NPI Enumeration Date | 07/16/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
172 |
$5K |
| 2021 |
775 |
$21K |
| 2024 |
291 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
434 |
432 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
509 |
506 |
$10K |
| D0274 |
Bitewings - four radiographic images |
189 |
189 |
$5K |
| D1206 |
Topical application of fluoride varnish |
81 |
81 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$444.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$96.00 |