DAVID J GLOVER DDS PA
NPI: 1255927125
· CABOT, AR 72023
· General Practice Dentistry
· NPI assigned 12/15/2020
$168K
Total Medicaid Paid
Provider Details
| Authorized Official | GLOVER, DAVID (OWNER) |
| NPI Enumeration Date | 12/15/2020 |
Related Entities
Other providers sharing the same authorized official: GLOVER, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,134 |
$49K |
| 2022 |
2,416 |
$55K |
| 2023 |
1,828 |
$42K |
| 2024 |
1,050 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,154 |
1,124 |
$49K |
| D0120 |
Periodic oral evaluation - established patient |
1,523 |
1,488 |
$36K |
| D0272 |
Bitewings - two radiographic images |
1,167 |
1,143 |
$25K |
| D0220 |
Intraoral - periapical first radiographic image |
1,201 |
1,165 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
894 |
879 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,149 |
991 |
$15K |
| D1120 |
Prophylaxis - child |
175 |
171 |
$6K |
| D1206 |
Topical application of fluoride varnish |
136 |
134 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$737.60 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
13 |
$390.90 |