NCDI LONGMONT PROFESSIONAL LLP
NPI: 1144830282
· LONGMONT, CO 80501
· Pediatric Dentist
· NPI assigned 08/04/2020
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | HAMBRIGHT, KATIE (OFFICE MANAGER) |
| NPI Enumeration Date | 08/04/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
169 |
$4K |
| 2022 |
1,028 |
$23K |
| 2023 |
1,556 |
$37K |
| 2024 |
1,718 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
952 |
944 |
$38K |
| D1206 |
Topical application of fluoride varnish |
1,309 |
1,303 |
$30K |
| D0120 |
Periodic oral evaluation - established patient |
984 |
972 |
$26K |
| D0272 |
Bitewings - two radiographic images |
401 |
400 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
138 |
138 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
383 |
376 |
$5K |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
208 |
206 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
56 |
53 |
$2K |