HERITAGE DENTAL, P.C.
NPI: 1417101981
· ONEONTA, AL 35121
· General Practice Dentistry
· NPI assigned 11/11/2008
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | MCKINNEY, JOHN (DENTIST/OWNER) |
| NPI Enumeration Date | 11/11/2008 |
Related Entities
Other providers sharing the same authorized official: MCKINNEY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
385 |
$6K |
| 2019 |
480 |
$9K |
| 2020 |
415 |
$8K |
| 2021 |
1,028 |
$21K |
| 2022 |
1,479 |
$31K |
| 2023 |
952 |
$21K |
| 2024 |
528 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,233 |
1,179 |
$22K |
| D1999 |
|
1,154 |
1,064 |
$21K |
| D1110 |
Prophylaxis - adult |
479 |
453 |
$16K |
| D1208 |
Topical application of fluoride, excluding varnish |
948 |
903 |
$13K |
| D1120 |
Prophylaxis - child |
435 |
407 |
$11K |
| D0274 |
Bitewings - four radiographic images |
423 |
399 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
74 |
50 |
$6K |
| D0272 |
Bitewings - two radiographic images |
385 |
362 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
103 |
94 |
$2K |
| D0330 |
Panoramic radiographic image |
18 |
16 |
$784.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
12 |
$231.00 |