FIELDS 20/20 DENTAL, LLC
NPI: 1336572536
· INDIANAPOLIS, IN 46221
· General Practice Dentistry
· NPI assigned 08/12/2013
Provider Details
| Authorized Official | MYERS, WILLIAM (D.D.S.) |
| Parent Organization | 20-20 DENTAL, LLC |
| NPI Enumeration Date | 08/12/2013 |
Related Entities
Other providers sharing the same authorized official: MYERS, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,066 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
187 |
180 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
240 |
216 |
$654.82 |
| D1206 |
Topical application of fluoride varnish |
178 |
171 |
$623.00 |
| D0274 |
Bitewings - four radiographic images |
133 |
126 |
$492.38 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
98 |
94 |
$355.00 |
| D1120 |
Prophylaxis - child |
82 |
80 |
$276.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
39 |
15 |
$218.25 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$185.40 |
| D0210 |
Intraoral - complete series of radiographic images |
94 |
81 |
$146.41 |