BRENT T. AMAYA D.D.S. P.L.L.C.
NPI: 1366787699
· MIDWEST CITY, OK 73130
· General Practice Dentistry
· NPI assigned 11/27/2012
Provider Details
| Authorized Official | AMAYA, BRENT (DENTIST) |
| NPI Enumeration Date | 11/27/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
662 |
$14K |
| 2019 |
192 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
192 |
192 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
260 |
260 |
$5K |
| D1206 |
Topical application of fluoride varnish |
299 |
299 |
$4K |
| D0272 |
Bitewings - two radiographic images |
77 |
77 |
$1K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$1K |