SUMMIT DENTAL CARE PAUL, PLLC
NPI: 1346789534
· PAUL, ID 83347
· Dentist
· NPI assigned 02/21/2017
Provider Details
| Authorized Official | FRAME, ALISA (OFFICE MANAGER) |
| NPI Enumeration Date | 02/21/2017 |
Related Entities
Other providers sharing the same authorized official: FRAME, ALISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$0.00 |
| 2020 |
24 |
$1K |
| 2021 |
149 |
$5K |
| 2022 |
180 |
$6K |
| 2023 |
96 |
$3K |
| 2024 |
64 |
$32.22 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
195 |
194 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
211 |
211 |
$131.01 |
| D1206 |
Topical application of fluoride varnish |
56 |
56 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
13 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
38 |
38 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$0.00 |