THE RIVER'S EDGE DENTAL
NPI: 1265085567
· COOLIDGE, AZ 85128
· General Practice Dentistry
· NPI assigned 07/17/2019
Provider Details
| Authorized Official | JACKSON, MARVIN (OWNER / DENTIST) |
| NPI Enumeration Date | 07/17/2019 |
Related Entities
Other providers sharing the same authorized official: JACKSON, MARVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
55 |
$424.26 |
| 2021 |
534 |
$4K |
| 2022 |
710 |
$4K |
| 2023 |
403 |
$3K |
| 2024 |
200 |
$631.02 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
416 |
350 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
1,076 |
867 |
$4K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
21 |
13 |
$2K |
| D1120 |
Prophylaxis - child |
54 |
54 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
162 |
109 |
$930.02 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
49 |
$504.58 |
| D1206 |
Topical application of fluoride varnish |
42 |
40 |
$398.97 |
| D0274 |
Bitewings - four radiographic images |
26 |
25 |
$321.91 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$133.44 |
| D0603 |
|
30 |
27 |
$0.00 |