DEER CREEK CHILDRENS DENTISTRY
NPI: 1326584921
· HEBER CITY, UT 84032
· Pediatric Dentist
· NPI assigned 01/06/2017
Provider Details
| Authorized Official | WHITE, TRAVIS (PRESIDENT) |
| NPI Enumeration Date | 01/06/2017 |
Related Entities
Other providers sharing the same authorized official: WHITE, TRAVIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
171 |
$4K |
| 2022 |
704 |
$20K |
| 2023 |
328 |
$8K |
| 2024 |
104 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
264 |
264 |
$21K |
| D1120 |
Prophylaxis - child |
250 |
250 |
$5K |
| D1206 |
Topical application of fluoride varnish |
270 |
270 |
$2K |
| D0272 |
Bitewings - two radiographic images |
158 |
158 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
174 |
173 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
191 |
189 |
$999.71 |