SALUD DENTAL GROUP CHAPARRAL
NPI: 1336796473
· CHAPARRAL, NM 88081
· General Practice Dentistry
· NPI assigned 08/22/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$763.22 |
| 2022 |
25 |
$692.66 |
| 2023 |
52 |
$841.14 |
| 2024 |
125 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
90 |
90 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
85 |
85 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$684.36 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$369.51 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
12 |
$157.63 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$154.58 |