DEER PARK DENTAL PLLC
NPI: 1417572892
· DEER PARK, WA 99006
· Dentist
· NPI assigned 06/11/2020
Provider Details
| Authorized Official | MONTANO, SANDY (OWNER) |
| NPI Enumeration Date | 06/11/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
29 |
$230.00 |
| 2021 |
184 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9110 |
|
56 |
48 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
34 |
31 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
38 |
33 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
37 |
$455.68 |
| D1999 |
|
29 |
19 |
$230.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
13 |
$35.52 |