BLACKROCK DENTAL PARTNERS, PLLC
NPI: 1356643308
· POCATELLO, ID 83201
· Dentist
· NPI assigned 11/24/2010
Provider Details
| Authorized Official | GIBBONS, JOSHUA (OWNER) |
| NPI Enumeration Date | 11/24/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
86 |
$2K |
| 2019 |
37 |
$2K |
| 2020 |
357 |
$10K |
| 2021 |
88 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
256 |
254 |
$15K |
| D0120 |
|
232 |
232 |
$679.25 |
| D0274 |
|
39 |
39 |
$331.98 |
| D0230 |
|
13 |
12 |
$68.66 |
| D1206 |
|
13 |
13 |
$0.00 |
| D0220 |
|
15 |
15 |
$0.00 |