THE DENTAL CLINIC
NPI: 1306100136
· NORTH LITTLE ROCK, AR 72114
· General Practice Dentistry
· NPI assigned 06/26/2012
Provider Details
| Authorized Official | JOLLY, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 06/26/2012 |
Related Entities
Other providers sharing the same authorized official: JOLLY, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
233 |
$4K |
| 2019 |
26 |
$615.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
138 |
132 |
$2K |
| D0272 |
Bitewings - two radiographic images |
96 |
91 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$561.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$99.75 |