TOOTHSOME DENTAL - BRANDYWINE LLC
NPI: 1134722853
· BRANDYWINE, MD 20613
· Dental Clinic/Center
· NPI assigned 11/17/2020
Provider Details
| Authorized Official | CHAPMAN, SHANNON (OWNER/DENTIST) |
| NPI Enumeration Date | 11/17/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
254 |
$6K |
| 2022 |
158 |
$3K |
| 2023 |
232 |
$6K |
| 2024 |
137 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
349 |
343 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
158 |
158 |
$5K |
| D1120 |
Prophylaxis - child |
57 |
57 |
$3K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
90 |
87 |
$888.36 |
| D0274 |
Bitewings - four radiographic images |
39 |
38 |
$862.91 |
| D0230 |
Intraoral - periapical each additional radiographic image |
62 |
60 |
$424.24 |