ON-SITE DENTIST, LLC
NPI: 1366960775
· ENGLEWOOD, CO 80111
· General Practice Dentistry
· NPI assigned 09/06/2017
Provider Details
| Authorized Official | PECHEK, TYSON (DIRECTOR OF DENTISTRY) |
| NPI Enumeration Date | 09/06/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
743 |
$22K |
| 2020 |
134 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
216 |
177 |
$8K |
| D0240 |
|
137 |
109 |
$5K |
| D1120 |
Prophylaxis - child |
148 |
117 |
$5K |
| D1206 |
Topical application of fluoride varnish |
201 |
164 |
$3K |
| D0272 |
Bitewings - two radiographic images |
113 |
94 |
$2K |
| D1351 |
Sealant - per tooth |
62 |
12 |
$2K |