SPRINGFIELD CELEBRATE PEDIATRICS LLC
NPI: 1184483216
· SPRINGFIELD, MO 65810
· Pediatric Dentist
· NPI assigned 03/19/2024
Provider Details
| Authorized Official | MELANSON, MIKE (OWNER) |
| NPI Enumeration Date | 03/19/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
105 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
14 |
14 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$915.20 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
15 |
$326.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
47 |
15 |
$255.20 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$220.80 |