SUNWEST DENTAL CENTER III, LLC
NPI: 1407228448
· TEMPE, AZ 85281
· General Practice Dentistry
· NPI assigned 10/29/2015
Provider Details
| Authorized Official | DALTON, TRACEY (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 10/29/2015 |
Related Entities
Other providers sharing the same authorized official: DALTON, TRACEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
243 |
$2K |
| 2019 |
209 |
$356.80 |
| 2020 |
1,117 |
$3K |
| 2021 |
1,993 |
$6K |
| 2022 |
685 |
$477.75 |
| 2023 |
90 |
$284.41 |
| 2024 |
102 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
2,426 |
2,230 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
1,183 |
1,111 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
631 |
578 |
$1K |
| D0274 |
Bitewings - four radiographic images |
41 |
41 |
$526.96 |
| D0330 |
Panoramic radiographic image |
57 |
55 |
$438.36 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$247.38 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
31 |
17 |
$244.88 |
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$237.69 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$135.63 |
| D1206 |
Topical application of fluoride varnish |
19 |
15 |
$59.73 |