BRENTWOOD PEDIATRIC DENTISTRY MARYLAND FARMS, PLLC
NPI: 1225686157
· BRENTWOOD, TN 37027
· Pediatric Dentist
· NPI assigned 09/04/2019
Provider Details
| Authorized Official | CREGGER, RYAN (OWNER) |
| NPI Enumeration Date | 09/04/2019 |
Related Entities
Other providers sharing the same authorized official: CREGGER, RYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
580 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
90 |
87 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
112 |
108 |
$3K |
| D1206 |
Topical application of fluoride varnish |
113 |
110 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$935.85 |
| D1354 |
|
178 |
58 |
$915.31 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
28 |
25 |
$697.00 |
| D1110 |
Prophylaxis - adult |
15 |
14 |
$571.92 |
| D0272 |
Bitewings - two radiographic images |
29 |
27 |
$445.65 |