NPI: 1215777024 · LONGMONT, CO 80501 · Pediatric Dentist · NPI assigned 05/29/2024
Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more
| Authorized Official | DASCH, CHARLOTTE (DIRECTOR OF CRED AND PROVR REL) |
| Parent Organization | CO SPECIALTY DENTAL SERVICES, PLLC |
| NPI Enumeration Date | 05/29/2024 |
Other providers sharing the same authorized official: DASCH, CHARLOTTE
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 2,905 | $133K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 411 | 411 | $30K |
| D0120 | Periodic oral evaluation - established patient | 551 | 551 | $21K |
| D1110 | Prophylaxis - adult | 212 | 212 | $21K |
| D1206 | Topical application of fluoride varnish | 321 | 321 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 73 | 35 | $10K |
| D1351 | Sealant - per tooth | 163 | 47 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 164 | 152 | $6K |
| D0350 | 91 | 90 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | 272 | 272 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 230 | 230 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 223 | 223 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 25 | 13 | $3K |
| D0272 | Bitewings - two radiographic images | 114 | 114 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 15 | 15 | $1K |
| D0274 | Bitewings - four radiographic images | 40 | 40 | $1K |