DAVIDSON, TERRY
NPI: 1326143496
· NEWTON, KS 67114
· General Practice Dentistry
· NPI assigned 09/14/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
215 |
$5K |
| 2019 |
849 |
$21K |
| 2020 |
733 |
$18K |
| 2021 |
877 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
492 |
487 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
940 |
927 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
635 |
626 |
$11K |
| D1351 |
Sealant - per tooth |
420 |
57 |
$11K |
| D1120 |
Prophylaxis - child |
101 |
97 |
$3K |
| D0274 |
Bitewings - four radiographic images |
74 |
72 |
$2K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$694.71 |