FOREST DENTAL PRACTICE PLLC
NPI: 1427314392
· FOREST, MS 39074
· General Practice Dentistry
· NPI assigned 04/05/2012
Provider Details
| Authorized Official | GIBSON, ANNE (OFFICE ASSISTANT) |
| NPI Enumeration Date | 04/05/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
315 |
$2K |
| 2019 |
95 |
$2K |
| 2020 |
101 |
$2K |
| 2021 |
305 |
$7K |
| 2022 |
565 |
$11K |
| 2023 |
222 |
$6K |
| 2024 |
56 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
602 |
475 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
527 |
408 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
239 |
196 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
154 |
71 |
$2K |
| D0330 |
Panoramic radiographic image |
46 |
42 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
41 |
28 |
$708.28 |
| D0274 |
Bitewings - four radiographic images |
34 |
25 |
$578.88 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
12 |
$130.88 |