RIVERGATE VILLAGE DENTAL
NPI: 1336459791
· MADISON, TN 37115
· Dentist
· NPI assigned 10/19/2010
Provider Details
| Authorized Official | FOSTER, SHAWN (PRACTICE ADMIN/REGIONAL DIRECTOR OP) |
| NPI Enumeration Date | 10/19/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
89 |
$3K |
| 2023 |
1,353 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
229 |
226 |
$14K |
| D1110 |
Prophylaxis - adult |
251 |
248 |
$11K |
| D2740 |
Crown - porcelain/ceramic |
17 |
13 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
311 |
308 |
$9K |
| D1206 |
Topical application of fluoride varnish |
232 |
231 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
199 |
197 |
$5K |
| D1120 |
Prophylaxis - child |
113 |
113 |
$4K |
| D4342 |
|
62 |
16 |
$2K |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$799.68 |