DODGE, KEITH
NPI: 1447489836
· OREM, UT 84057
· General Practice Dentistry
· NPI assigned 07/07/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
150 |
$2K |
| 2019 |
352 |
$8K |
| 2020 |
358 |
$9K |
| 2021 |
526 |
$17K |
| 2022 |
494 |
$20K |
| 2023 |
378 |
$11K |
| 2024 |
397 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
1,081 |
1,054 |
$46K |
| D1110 |
Prophylaxis - adult |
537 |
520 |
$14K |
| D0274 |
Bitewings - four radiographic images |
342 |
330 |
$8K |
| D1206 |
Topical application of fluoride varnish |
254 |
244 |
$4K |
| D1120 |
Prophylaxis - child |
170 |
160 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
167 |
155 |
$4K |
| D0272 |
Bitewings - two radiographic images |
45 |
42 |
$716.61 |
| D0230 |
Intraoral - periapical each additional radiographic image |
59 |
40 |
$524.81 |