ATCHISON COMMUNITY HEALTH CLINIC INC
NPI: 1265711675
· ATCHISON, KS 66002
· General Practice Dentistry
· NPI assigned 08/16/2011
Provider Details
| Authorized Official | REAVIS, ALLEN (DIRECTOR OF DENTAL SERVICES/DENTIST) |
| NPI Enumeration Date | 08/16/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
796 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
172 |
166 |
$26K |
| D1208 |
Topical application of fluoride, excluding varnish |
251 |
241 |
$5K |
| D1351 |
Sealant - per tooth |
207 |
27 |
$5K |
| D1110 |
Prophylaxis - adult |
18 |
18 |
$3K |
| D1330 |
|
148 |
145 |
$0.00 |