IMPRESSIONS DENTAL
NPI: 1144494147
· SHAWNEE, OK 74804
· General Practice Dentistry
· NPI assigned 04/22/2008
Provider Details
| Authorized Official | ELLIS, RENALLA (OWNER) |
| NPI Enumeration Date | 04/22/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
383 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
103 |
103 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
119 |
119 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
131 |
131 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$507.48 |
| D0272 |
Bitewings - two radiographic images |
18 |
18 |
$304.56 |