HOMETOWN ORTHODONTICS
NPI: 1194485748
· SOUTH HILL, VA 23970
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 12/22/2021
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | REED, EBONY (ORTHODONTIST) |
| NPI Enumeration Date | 12/22/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
141 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$0.00 |
| D8670 |
Periodic orthodontic treatment visit |
29 |
29 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$0.00 |
| D9630 |
|
31 |
31 |
$0.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |