SAGE DENTISTRY IV PLLC
NPI: 1154869121
· LAFAYETTE, CO 80026
· General Practice Dentistry
· NPI assigned 02/09/2017
Provider Details
| Authorized Official | POLLACK, SAGE (OWNER) |
| NPI Enumeration Date | 02/09/2017 |
Related Entities
Other providers sharing the same authorized official: POLLACK, SAGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
144 |
$5K |
| 2019 |
209 |
$7K |
| 2020 |
258 |
$12K |
| 2021 |
762 |
$33K |
| 2022 |
405 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
646 |
642 |
$26K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
123 |
70 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
329 |
329 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
116 |
115 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
333 |
330 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
145 |
143 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
57 |
57 |
$1K |
| D0274 |
Bitewings - four radiographic images |
29 |
29 |
$855.36 |