HARTZOG DENTAL, P.C.
NPI: 1194590919
· ALEXANDRIA, AL 36250
· Dental Clinic/Center
· NPI assigned 11/21/2023
Provider Details
| Authorized Official | HARTZOG, JOHN (OWNER/PRESIDENT) |
| NPI Enumeration Date | 11/21/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
530 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
185 |
29 |
$6K |
| D1110 |
Prophylaxis - adult |
59 |
47 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
63 |
45 |
$1K |
| D0274 |
Bitewings - four radiographic images |
77 |
56 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
43 |
31 |
$465.00 |
| D0220 |
Intraoral - periapical first radiographic image |
20 |
13 |
$138.60 |
| D9999 |
Unspecified adjunctive procedure, by report |
83 |
50 |
$0.00 |