NICHOLS DENTAL CENTER
NPI: 1326217639
· LEITCHFIELD, KY 42754
· General Practice Dentistry
· NPI assigned 02/21/2008
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | NICHOLS, JAY (DOCTOR) |
| NPI Enumeration Date | 02/21/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
557 |
$0.00 |
| 2024 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
77 |
57 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
255 |
171 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
91 |
57 |
$0.00 |
| D1120 |
Prophylaxis - child |
71 |
45 |
$0.00 |
| D1110 |
Prophylaxis - adult |
77 |
48 |
$0.00 |