DENTAL CENTER OF ST. GEORGE LLC
NPI: 1215320775
· ST GEORGE, UT 84790
· Health Maintenance Organization
· NPI assigned 03/09/2015
Provider Details
| Authorized Official | IMLAY, JACKIE (OWNER) |
| NPI Enumeration Date | 03/09/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
145 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
58 |
57 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
36 |
12 |
$257.04 |
| D0220 |
Intraoral - periapical first radiographic image |
51 |
50 |
$16.78 |