ROBERT E PIERCE, DMD, PC
NPI: 1205157294
· BONIFAY, FL 32425
· Dentist
· NPI assigned 06/14/2010
$200K
Total Medicaid Paid
Provider Details
| Authorized Official | PIERCE, ROBERT (PRES/OWNER) |
| NPI Enumeration Date | 06/14/2010 |
Related Entities
Other providers sharing the same authorized official: PIERCE, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,951 |
$188K |
| 2021 |
155 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9420 |
|
317 |
308 |
$196K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
333 |
107 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
640 |
139 |
$1K |
| D1330 |
|
305 |
297 |
$373.05 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
249 |
97 |
$228.90 |
| D1120 |
Prophylaxis - child |
194 |
186 |
$0.00 |
| D0350 |
|
287 |
279 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
82 |
77 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
597 |
179 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
102 |
50 |
$0.00 |