NPI: 1205287067 · DAVENPORT, IA 52806 · Dental Clinic/Center · NPI assigned 06/23/2016
Authorized official TAYLOR, BRANDON controls 20+ related entities in our dataset. Read more
| Authorized Official | TAYLOR, BRANDON (CREDENTALING & PAYER RELATIONS MGR) |
| NPI Enumeration Date | 06/23/2016 |
Other providers sharing the same authorized official: TAYLOR, BRANDON
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,941 | $416K |
| 2019 | 31,655 | $684K |
| 2020 | 36,555 | $538K |
| 2021 | 44,945 | $670K |
| 2022 | 7,935 | $172K |
| 2023 | 7,647 | $153K |
| 2024 | 1,277 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 11,658 | 10,056 | $352K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4,928 | 3,007 | $285K |
| D1351 | Sealant - per tooth | 14,963 | 1,190 | $203K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4,575 | 2,699 | $197K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10,090 | 8,752 | $195K |
| D0274 | Bitewings - four radiographic images | 10,508 | 9,183 | $195K |
| D0120 | Periodic oral evaluation - established patient | 13,456 | 11,427 | $190K |
| D1120 | Prophylaxis - child | 9,319 | 7,827 | $185K |
| D7140 | Extraction, erupted tooth or exposed root | 3,654 | 1,521 | $155K |
| D1206 | Topical application of fluoride varnish | 11,176 | 8,869 | $122K |
| D1208 | Topical application of fluoride, excluding varnish | 9,167 | 8,454 | $119K |
| D0220 | Intraoral - periapical first radiographic image | 14,216 | 12,315 | $118K |
| D0140 | Limited oral evaluation - problem focused | 4,117 | 3,617 | $90K |
| D0230 | Intraoral - periapical each additional radiographic image | 14,537 | 9,337 | $84K |
| D0272 | Bitewings - two radiographic images | 3,756 | 3,173 | $49K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 624 | 414 | $35K |
| D4341 | 364 | 115 | $23K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 302 | 199 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 383 | 349 | $15K |
| D2330 | 203 | 124 | $9K | |
| D2335 | 107 | 64 | $6K | |
| D2740 | Crown - porcelain/ceramic | 24 | 12 | $5K |
| D0270 | 618 | 590 | $4K | |
| D2331 | 32 | 26 | $2K | |
| D2332 | 27 | 14 | $1K | |
| D4355 | 24 | 16 | $788.06 | |
| D0460 | 51 | 50 | $589.08 | |
| D0240 | 17 | 15 | $319.28 | |
| D9110 | 34 | 29 | $261.30 | |
| D1999 | 8,025 | 5,683 | $0.00 |