PEDIATRIC DENTAL ASSOCIATES OF ATLANTA
NPI: 1245879006
· AUGUSTA, GA 30907
· Pediatric Dentist
· NPI assigned 12/26/2019
Provider Details
| Authorized Official | OBEBE, AKINDEKO (PRESIDENT) |
| NPI Enumeration Date | 12/26/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
430 |
$10K |
| 2021 |
582 |
$13K |
| 2022 |
424 |
$11K |
| 2023 |
718 |
$18K |
| 2024 |
961 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
978 |
978 |
$34K |
| D0120 |
Periodic oral evaluation - established patient |
713 |
713 |
$17K |
| D1206 |
Topical application of fluoride varnish |
980 |
980 |
$16K |
| D0272 |
Bitewings - two radiographic images |
314 |
314 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
68 |
$3K |
| D0240 |
|
50 |
43 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$604.80 |