COOTHBRUSH INC
NPI: 1386710275
· CORYDON, IN 47112
· General Practice Dentistry
· NPI assigned 11/24/2006
Provider Details
| Authorized Official | MCCOOE, TERRY (CEO COOTHBRUSH INC) |
| NPI Enumeration Date | 11/24/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
194 |
$2K |
| 2019 |
300 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
169 |
156 |
$5K |
| D0330 |
Panoramic radiographic image |
54 |
46 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
86 |
68 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
128 |
121 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
25 |
$951.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
24 |
$313.46 |