WOODMOOR DENTAL
NPI: 1194299941
· MONUMENT, CO 80132
· Dentist
· NPI assigned 01/15/2019
Provider Details
| Authorized Official | HALL, VALERIE (BUSINESS MANAGER) |
| NPI Enumeration Date | 01/15/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$1K |
| 2020 |
488 |
$17K |
| 2021 |
402 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
353 |
353 |
$14K |
| D0274 |
Bitewings - four radiographic images |
193 |
193 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
112 |
112 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
152 |
152 |
$3K |
| D0330 |
Panoramic radiographic image |
59 |
59 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$426.53 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$262.24 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
17 |
$204.34 |