DENTISTRY FOR CHILDREN
NPI: 1184729873
· RICHMOND, KY 40475
· Pediatric Dentist
· NPI assigned 09/14/2006
$182K
Total Medicaid Paid
Provider Details
| Authorized Official | GOBBLE, ERIN (OFFICE MANAGER) |
| NPI Enumeration Date | 09/14/2006 |
Related Entities
Other providers sharing the same authorized official: GOBBLE, ERIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
642 |
$15K |
| 2019 |
5,995 |
$150K |
| 2020 |
595 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,793 |
1,700 |
$78K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,997 |
1,899 |
$49K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,075 |
1,970 |
$29K |
| D0272 |
Bitewings - two radiographic images |
662 |
624 |
$11K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
174 |
75 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
368 |
325 |
$3K |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
136 |
82 |
$828.38 |