DENTAL SERVICES OF OHIO
NPI: 1205019817
· DAYTON, OH 45414
· Dentist
· NPI assigned 12/06/2007
$342.77
Total Medicaid Paid
Provider Details
| Authorized Official | WHEELER, AMY (CREDENTIALING COORDINATOR) |
| Parent Organization | DENTAL SERVICES OF OHIO |
| NPI Enumeration Date | 12/06/2007 |
Related Entities
Other providers sharing the same authorized official: WHEELER, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
76 |
$342.77 |
| 2019 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7140 |
Extraction, erupted tooth or exposed root |
20 |
14 |
$170.07 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
12 |
$120.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
18 |
$52.70 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |