NEW IMAGE DENTAL CARE
NPI: 1205932316
· ALVA, OK 73717
· General Practice Dentistry
· NPI assigned 09/15/2006
Provider Details
| Authorized Official | PIERCE, JEFFREY (DENTIST) |
| NPI Enumeration Date | 09/15/2006 |
Related Entities
Other providers sharing the same authorized official: PIERCE, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
996 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
209 |
209 |
$4K |
| D1120 |
Prophylaxis - child |
146 |
146 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
275 |
275 |
$4K |
| D1110 |
Prophylaxis - adult |
36 |
36 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
50 |
40 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
85 |
83 |
$1K |
| D0272 |
Bitewings - two radiographic images |
53 |
53 |
$879.84 |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$687.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
90 |
36 |
$613.35 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$572.33 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$394.80 |