EHRMANTROUT & DAVIDSON, PLLC
NPI: 1134564032
· LACEY, WA 98516
· Pediatric Dentist
· NPI assigned 05/06/2013
Provider Details
| Authorized Official | BLOCH, KENNETH (ATTORNEY) |
| NPI Enumeration Date | 05/06/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
482 |
$11K |
| 2019 |
250 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
265 |
263 |
$6K |
| D1206 |
Topical application of fluoride varnish |
260 |
258 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
195 |
194 |
$5K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$123.48 |