HORIZON DENTAL CARE AT STEAMTOWN
NPI: 1326408519
· SCRANTON, PA 18503
· Dentist
· NPI assigned 03/01/2016
Provider Details
| Authorized Official | EVANISH, JOHN (OWNER DOCTOR) |
| NPI Enumeration Date | 03/01/2016 |
Related Entities
Other providers sharing the same authorized official: EVANISH, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
300 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
108 |
106 |
$3K |
| D1110 |
Prophylaxis - adult |
87 |
86 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
30 |
14 |
$2K |
| D0274 |
Bitewings - four radiographic images |
42 |
42 |
$1K |
| D1206 |
Topical application of fluoride varnish |
20 |
20 |
$360.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$100.00 |