HORIZON DENTAL CARE AT CHERRY RIDGE
NPI: 1437576592
· HONESDALE, PA 18431
· General Practice Dentistry
· NPI assigned 03/26/2014
Provider Details
| Authorized Official | EVANISH, JOHN (OWNER) |
| NPI Enumeration Date | 03/26/2014 |
Related Entities
Other providers sharing the same authorized official: EVANISH, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
272 |
$7K |
| 2021 |
803 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
348 |
346 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
306 |
304 |
$6K |
| D0274 |
Bitewings - four radiographic images |
191 |
188 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
80 |
80 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
12 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
96 |
95 |
$736.00 |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$518.00 |
| D1206 |
Topical application of fluoride varnish |
16 |
13 |
$234.00 |