RETRO DENTAL BROOMFIELD DBD, LLC
NPI: 1205312469
· BROOMFIELD, CO 80020
· General Practice Dentistry
· NPI assigned 07/11/2018
Provider Details
| Authorized Official | HOUSER, JAMIN (CHIEF DENTAL OFFICER) |
| NPI Enumeration Date | 07/11/2018 |
Related Entities
Other providers sharing the same authorized official: HOUSER, JAMIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
307 |
$8K |
| 2020 |
111 |
$3K |
| 2021 |
159 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
166 |
162 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
139 |
135 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
133 |
125 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
39 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
34 |
34 |
$1K |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$397.44 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$373.10 |
| D0230 |
Intraoral - periapical each additional radiographic image |
26 |
26 |
$325.98 |