SOUTHPARK ORTHODONTICS
NPI: 1255488508
· LITTLETON, CO 80120
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 01/05/2007
Provider Details
| Authorized Official | KO, JENNIFER (OFFICE MANAGER) |
| NPI Enumeration Date | 01/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
876 |
$31K |
| 2019 |
82 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8660 |
|
61 |
61 |
$8K |
| D1110 |
Prophylaxis - adult |
202 |
201 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
222 |
222 |
$5K |
| D0330 |
Panoramic radiographic image |
58 |
57 |
$3K |
| D0274 |
Bitewings - four radiographic images |
97 |
96 |
$3K |
| D0340 |
|
45 |
45 |
$3K |
| D1206 |
Topical application of fluoride varnish |
134 |
132 |
$2K |
| D0350 |
|
55 |
54 |
$2K |
| D1120 |
Prophylaxis - child |
30 |
30 |
$892.80 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$389.88 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
29 |
$354.10 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$273.70 |