MC-PULL LLC
NPI: 1356811319
· PULLMAN, WA 99163
· Dental Clinic/Center
· NPI assigned 12/03/2018
Provider Details
| Authorized Official | REED, CATHY (CREDENTIALING) |
| NPI Enumeration Date | 12/03/2018 |
Related Entities
Other providers sharing the same authorized official: REED, CATHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
432 |
$8K |
| 2020 |
32 |
$524.70 |
| 2021 |
25 |
$433.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
88 |
27 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
43 |
$1K |
| D1206 |
Topical application of fluoride varnish |
92 |
81 |
$1K |
| D0330 |
Panoramic radiographic image |
35 |
31 |
$666.80 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$586.71 |
| D0274 |
Bitewings - four radiographic images |
34 |
27 |
$328.50 |
| D1110 |
Prophylaxis - adult |
15 |
13 |
$324.38 |
| D1120 |
Prophylaxis - child |
20 |
14 |
$321.72 |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
43 |
$308.44 |
| D0230 |
Intraoral - periapical each additional radiographic image |
71 |
35 |
$123.60 |