BLUE SKY DENTAL CARE
NPI: 1306185061
· BEL AIR, MD 21015
· Dentist
· NPI assigned 01/31/2013
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$264.00 |
| 2020 |
30 |
$1K |
| 2021 |
52 |
$1K |
| 2022 |
37 |
$971.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
82 |
82 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$727.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$697.80 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$264.00 |