BRITEVIEW DENTAL LLC
NPI: 1437938479
· ROSWELL, NM 88201
· Dental Clinic/Center
· NPI assigned 09/28/2023
Provider Details
| Authorized Official | DE LEON, ALEXIS (ASSISTANT MANAGER) |
| NPI Enumeration Date | 09/28/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
178 |
$5K |
| 2024 |
66 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
31 |
29 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
50 |
48 |
$1K |
| D0274 |
Bitewings - four radiographic images |
24 |
23 |
$749.57 |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
40 |
$541.35 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
41 |
$338.58 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
27 |
$300.60 |
| D9410 |
|
22 |
22 |
$0.00 |