CLINCH RIVER PEDIATRIC DENTISTRY PLLC
NPI: 1164271581
· ABINGDON, VA 24210
· Pediatric Dentist
· NPI assigned 05/16/2024
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MCCALL, CONNOR (MANAGING PERSON) |
| NPI Enumeration Date | 05/16/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
172 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
48 |
48 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
50 |
50 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$0.00 |
| D1120 |
Prophylaxis - child |
48 |
48 |
$0.00 |