BONDURANT, JEREMY
NPI: 1346491461
· MYRTLE BEACH, SC 29577
· General Practice Dentistry
· NPI assigned 10/07/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
124 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
24 |
24 |
$835.20 |
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$552.00 |
| D1206 |
Topical application of fluoride varnish |
32 |
32 |
$518.40 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$390.00 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$303.04 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$205.28 |