EXCEPTIONAL DENTAL OF KENNER
NPI: 1194035352
· KENNER, LA 70065
· Dental Clinic/Center
· NPI assigned 10/20/2010
Provider Details
| Authorized Official | BOURG, DARRELL (DENTIST/OWNER) |
| NPI Enumeration Date | 10/20/2010 |
Related Entities
Other providers sharing the same authorized official: BOURG, DARRELL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
877 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
101 |
46 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
171 |
171 |
$5K |
| D1110 |
Prophylaxis - adult |
93 |
93 |
$4K |
| D1120 |
Prophylaxis - child |
102 |
102 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
132 |
132 |
$2K |
| D0272 |
Bitewings - two radiographic images |
187 |
183 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
51 |
44 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
26 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$102.83 |