CREEKSIDE DENTAL LLC
NPI: 1285982025
· SHERIDAN, WY 82801
· General Practice Dentistry
· NPI assigned 08/28/2012
Provider Details
| Authorized Official | MCCOLLEY, JOSEPH (OWNER/DENTIST) |
| NPI Enumeration Date | 08/28/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$550.00 |
| 2019 |
12 |
$600.00 |
| 2021 |
13 |
$633.75 |
| 2023 |
63 |
$3K |
| 2024 |
137 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
125 |
119 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
112 |
108 |
$4K |