MCCLELLANVILLE DENTAL LLC
NPI: 1194365502
· MC CLELLANVILLE, SC 29458
· General Practice Dentistry
· NPI assigned 01/14/2020
Provider Details
| Authorized Official | VARADI, LAURA (DENTIST/OWNER) |
| NPI Enumeration Date | 01/14/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
65 |
$2K |
| 2021 |
97 |
$3K |
| 2022 |
218 |
$6K |
| 2023 |
494 |
$11K |
| 2024 |
136 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
184 |
184 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
268 |
268 |
$6K |
| D0274 |
Bitewings - four radiographic images |
105 |
105 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
194 |
191 |
$2K |
| D1206 |
Topical application of fluoride varnish |
107 |
107 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
140 |
138 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$438.70 |