WILLIAMSBURG DENTAL HEALTH CLINIC INC
NPI: 1336552678
· WILLIAMSBURG, IA 52361
· General Practice Dentistry
· NPI assigned 06/04/2014
Provider Details
| Authorized Official | GRIER, BENTON (OFFICE MANAGER) |
| NPI Enumeration Date | 06/04/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
911 |
$12K |
| 2019 |
892 |
$15K |
| 2020 |
434 |
$7K |
| 2021 |
213 |
$3K |
| 2024 |
27 |
$644.41 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
870 |
770 |
$12K |
| D1120 |
Prophylaxis - child |
566 |
496 |
$11K |
| D1206 |
Topical application of fluoride varnish |
914 |
808 |
$11K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$1K |
| D0272 |
Bitewings - two radiographic images |
75 |
64 |
$998.57 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$589.68 |