JUSTIN A. HICKS, D.M.D., PC
NPI: 1154656361
· GREAT FALLS, MT 59405
· General Practice Dentistry
· NPI assigned 10/05/2009
Provider Details
| Authorized Official | HICKS, JUSTIN (PRESIDENT) |
| NPI Enumeration Date | 10/05/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,143 |
$38K |
| 2019 |
1,185 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
438 |
69 |
$27K |
| D1110 |
Prophylaxis - adult |
289 |
270 |
$14K |
| D1206 |
Topical application of fluoride varnish |
489 |
457 |
$10K |
| D0330 |
Panoramic radiographic image |
185 |
180 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
275 |
254 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
260 |
246 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
124 |
118 |
$4K |
| D0274 |
Bitewings - four radiographic images |
96 |
91 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
47 |
45 |
$3K |
| D1351 |
Sealant - per tooth |
44 |
13 |
$1K |
| D1120 |
Prophylaxis - child |
28 |
26 |
$936.68 |
| D1354 |
|
38 |
15 |
$598.29 |
| D1320 |
|
15 |
14 |
$408.76 |