BLUE COMFORT DENTAL PC
NPI: 1427550318
· PETERSBURG, VA 23805
· General Practice Dentistry
· NPI assigned 03/06/2018
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
371 |
$10K |
| 2020 |
999 |
$21K |
| 2021 |
678 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
633 |
593 |
$17K |
| D1110 |
Prophylaxis - adult |
305 |
293 |
$13K |
| D0330 |
Panoramic radiographic image |
546 |
512 |
$10K |
| D0274 |
Bitewings - four radiographic images |
165 |
157 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
49 |
43 |
$705.25 |
| D7140 |
Extraction, erupted tooth or exposed root |
125 |
39 |
$587.00 |
| D9630 |
|
225 |
202 |
$0.00 |