PREMIER ORTHODONTIC AND PEDIATRIC DENTISTRY
NPI: 1306561410
· WELLINGTON, FL 33414
· Pediatric Dentist
· NPI assigned 10/11/2022
Provider Details
| Authorized Official | BURKE, AMELIA (ADMIN) |
| Parent Organization | PREMIER GENERAL AND COSMETIC DENTISTRY |
| NPI Enumeration Date | 10/11/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
690 |
$4K |
| 2024 |
1,153 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
78 |
78 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
166 |
164 |
$4K |
| D1120 |
Prophylaxis - child |
345 |
342 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
401 |
398 |
$3K |
| D1330 |
|
428 |
425 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$536.69 |
| D0230 |
Intraoral - periapical each additional radiographic image |
251 |
108 |
$362.56 |
| D0220 |
Intraoral - periapical first radiographic image |
135 |
128 |
$263.32 |
| D0240 |
|
26 |
13 |
$0.00 |