CAMELLIA DENTAL CARE LLC
NPI: 1154974277
· TUSCALOOSA, AL 35406
· Dentist
· NPI assigned 07/17/2019
Provider Details
| Authorized Official | HOLLAND, TIMOTHY (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 07/17/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
371 |
$6K |
| 2020 |
198 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
126 |
123 |
$2K |
| D1120 |
Prophylaxis - child |
85 |
80 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
152 |
144 |
$2K |
| D1110 |
Prophylaxis - adult |
45 |
43 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
21 |
12 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
55 |
$539.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
60 |
48 |
$470.00 |
| D1999 |
|
18 |
13 |
$240.00 |