KENNEDY DENTAL OFFICE
NPI: 1447311451
· MONTGOMERY, WV 25136
· General Practice Dentistry
· NPI assigned 12/13/2006
Provider Details
| Authorized Official | DILLON, KIMBERLY (ACCOUNT MANAGER) |
| NPI Enumeration Date | 12/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$755.00 |
| 2020 |
16 |
$0.00 |
| 2024 |
462 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
190 |
167 |
$7K |
| D1110 |
Prophylaxis - adult |
59 |
59 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
126 |
126 |
$3K |
| D0330 |
Panoramic radiographic image |
41 |
41 |
$3K |
| D1206 |
Topical application of fluoride varnish |
45 |
45 |
$924.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$440.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$214.50 |
| D1999 |
|
16 |
12 |
$0.00 |