SPLENDENTAL INC.
NPI: 1407489180
· UPPER ARLINGTON, OH 43220
· Dental Clinic/Center
· NPI assigned 02/20/2020
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
40 |
$1K |
| 2022 |
173 |
$5K |
| 2023 |
86 |
$2K |
| 2024 |
12 |
$782.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
94 |
94 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
75 |
75 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
88 |
88 |
$2K |
| D0330 |
Panoramic radiographic image |
28 |
28 |
$1K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$260.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$195.00 |