TAHLEQUAH DENTAL CARE PLLC
NPI: 1306012547
· TAHLEQUAH, OK 74464
· General Practice Dentistry
· NPI assigned 05/07/2008
Provider Details
| Authorized Official | GEASLAND, JOHN (MANAGING MEMBER) |
| NPI Enumeration Date | 05/07/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
88 |
$2K |
| 2019 |
174 |
$4K |
| 2020 |
199 |
$5K |
| 2021 |
284 |
$8K |
| 2022 |
715 |
$26K |
| 2023 |
587 |
$18K |
| 2024 |
179 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,008 |
1,008 |
$21K |
| D1110 |
Prophylaxis - adult |
386 |
386 |
$18K |
| D1120 |
Prophylaxis - child |
502 |
502 |
$15K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
46 |
14 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
117 |
115 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
89 |
89 |
$3K |
| D0274 |
Bitewings - four radiographic images |
65 |
65 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$634.01 |