HOLMES CO. BOARD OF MRDD
NPI: 1417018003
· HOLMESVILLE, OH 44633
· Public Health Dentist
· NPI assigned 12/13/2006
Provider Details
| Authorized Official | BRACE, F. (SUPERINTENDENT) |
| NPI Enumeration Date | 12/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$215.16 |
| 2019 |
15 |
$266.40 |
| 2020 |
26 |
$466.18 |
| 2021 |
216 |
$4K |
| 2022 |
194 |
$4K |
| 2023 |
44 |
$993.41 |
| 2024 |
14 |
$490.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
276 |
274 |
$5K |
| D1110 |
Prophylaxis - adult |
56 |
56 |
$2K |
| D1206 |
Topical application of fluoride varnish |
114 |
114 |
$2K |
| D1120 |
Prophylaxis - child |
61 |
61 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$73.50 |