MAIN STREET DENTAL OF SALT LAKE CITY
NPI: 1245607068
· SALT LAKE CITY, UT 84115
· 305S00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
380 |
$16K |
| 2022 |
786 |
$38K |
| 2023 |
337 |
$18K |
| 2024 |
168 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
|
580 |
233 |
$38K |
| D0140 |
|
455 |
419 |
$26K |
| D0220 |
|
468 |
431 |
$8K |
| D0150 |
|
49 |
47 |
$5K |
| D0274 |
|
87 |
83 |
$870.03 |
| D7922 |
|
17 |
12 |
$380.00 |
| D1110 |
|
15 |
13 |
$105.08 |