MARLEY PARK DENTAL LLC
NPI: 1417121039
· PEORIA, AZ 85345
· General Practice Dentistry
· NPI assigned 04/15/2008
Provider Details
| Authorized Official | MARUSKA, ERIN (DENTIST/OWNER) |
| NPI Enumeration Date | 04/15/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
468 |
$7K |
| 2019 |
379 |
$4K |
| 2020 |
854 |
$6K |
| 2021 |
206 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
539 |
510 |
$4K |
| D0274 |
Bitewings - four radiographic images |
244 |
235 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
311 |
298 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
450 |
426 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
201 |
196 |
$2K |
| D1110 |
Prophylaxis - adult |
95 |
89 |
$2K |
| D1120 |
Prophylaxis - child |
36 |
26 |
$501.87 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$139.34 |
| D1999 |
|
19 |
18 |
$6.00 |