PLAINFIELD PARK PEDIATRIC DENTISTRY
NPI: 1366291056
· PLAINFIELD, IN 46168
· Pediatric Dentist
· NPI assigned 05/15/2024
Provider Details
| Authorized Official | ALLISON, LESA (OWNER) |
| NPI Enumeration Date | 05/15/2024 |
Related Entities
Other providers sharing the same authorized official: ALLISON, LESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
203 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
43 |
$2K |
| D1120 |
Prophylaxis - child |
51 |
43 |
$2K |
| D1206 |
Topical application of fluoride varnish |
69 |
60 |
$2K |
| D0272 |
Bitewings - two radiographic images |
32 |
25 |
$631.98 |